Individual
CHRISTINA L ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1850 GATEWAY DR STE 103, SYCAMORE, IL 60178-3192
(815) 758-8671
(815) 756-4892
Mailing address
1850 GATEWAY DR STE 103, SYCAMORE, IL 60178-3192
(815) 758-8671
(815) 756-4892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-158012
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125.072714
STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
06/25/2018
Last updated
11/14/2024
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