| Christopher M Northern, PA | |
|
360 Station Dr, Crystal Lake, IL 60014-7978 | |
| (815) 356-2330 | |
| (815) 477-9826 |
| Full Name | Christopher M Northern |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 360 Station Dr, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043300767 | NPI | - | NPPES |
| 43025400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1898-023 (Wisconsin) | Primary |
| 207P00000X | Emergency Medicine | 1898-023 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illinois Bone And Joint Institute, Llc | 6002814878 | 603 |
| Entity Name | Illinois Bone and Joint Institute, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher M Northern, PA 360 Station Dr, Crystal Lake, IL 60012 Ph: (815) 338-6600 | Christopher M Northern, PA 360 Station Dr, Crystal Lake, IL 60014-7978 Ph: (815) 356-2330 |
Amanda Marie Diamond, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 360 Station Drive, Suite 201, Crystal Lake, IL 60014 Phone: 815-455-7200 Fax: 815-455-9256 |
Ms. Robin K Pond, M.M.S., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5911 Northwest Highway, Suite 205, Crystal Lake, IL 60014 Phone: 847-515-2200 Fax: 847-515-2328 |
Makiko Ogino-mcelligott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 E Congress Pkwy, 100, Crystal Lake, IL 60014 Phone: 815-479-8020 |
Katelyn St Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 N Il Route 31, Crystal Lake, IL 60012 Phone: 815-356-5200 Fax: 815-356-5262 |
Devin Chen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 N Il Route 31, Crystal Lake, IL 60012 Phone: 815-356-5200 |
Payton Gentges, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 E Congress Pkwy, Crystal Lake, IL 60014 Phone: 847-381-8899 |
Christine A. Potter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 N State Route 31, Crystal Lake, IL 60012 Phone: 815-788-2018 |