CHRISTENE SHANK-GUNTERMAN NPI 1255074977

NPI Information

NPI: 1255074977
Provider Name: CHRISTENE SHANK-GUNTERMAN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
12 HEALTH SERVICES DR
DEKALB, IL
ZIP 60115
Phone: (815) 756-4875
Get Directions

Christene Shank-gunterman is a mental health counselor in Dekalb, IL. Christene Shank-gunterman NPI is 1255074977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12 HEALTH SERVICES DR
DEKALB, IL
ZIP 60115-637
Phone: (815) 756-4875
Fax: (815) 756-2944

The enumeration date for this NPI number is 4/20/2022 and was last updated on 4/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	474579189001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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