Individual
CHRISTINA GRACE PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
315 SOUTH GROVE STREET, CRESTON, IL 60113
(815) 520-2821
Mailing address
315 SOUTH GROVE STREET, CRESTON, IL 60113
(815) 520-2821
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
2601002634
MI
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
36004002A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2021
Last updated
05/28/2025
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