Christian R Locke (NPI# 1407949720, PAC ID# 6002813607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1407949720 |
| PAC ID by PECOS | 6002813607 |
| Professional Enrollment ID | I20061024000299 |
| Full Name | Christian R Locke |
| Organization Legal Name | INNOVATIVE BEHAVIORAL HEALTH, P.C. |
| Address |
58 Chicago Rd Suite 2 Oswego IL 60543-8611 |
| Phone Number | 6309137045 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7911904503 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 58 Chicago Rd, Suite 2, Oswego, IL 60543-8611 | 6309137045 | INNOVATIVE BEHAVIORAL HEALTH, P.C. |
| Organization Legal Name | INNOVATIVE BEHAVIORAL HEALTH, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Veronica T Lickfelt | Clinical Social Worker | Innovative Behavioral Health, P.C. | 525 S Washington St, Naperville, IL 60540-6749 |
| Street Address |
58 CHICAGO RD SUITE 2 |
| City | OSWEGO |
| State | IL |
| Zip | 60543-8611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravinderpal S Nandra | Internal Medicine | Nandra Family Practice, Ltd. | 1041 Station Dr, Oswego, IL 60543-5007 |
| Mukhtar S Nandra | General Practice | Nandra Family Practice, Ltd. | 1041 Station Dr, Oswego, IL 60543-5007 |
| Kristen A Accardo | Chiropractic | Balanced Body Chiropractic, LLC | 1231 Farmington Lakes Dr, Suite 101, Oswego, IL 60543-5131 |
| Catherine Chu | Family Medicine | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Heidi A Solache | Clinical Social Worker | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Mark E Peterson | Internal Medicine | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Stephanie R Parks | Physical Therapy | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Peter T Rasmussen | Physical Therapy | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Marie E Garcia | Physical Therapy | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Raquel T Robles | Obstetrics/gynecology | Dreyer Clinic Inc | 80 Templeton Dr, Oswego, IL 60543-7000 |
| Find all physicians in zip 60543 | |||
| City | OSWEGO |
| Zip Code | 60543 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | OSWEGO + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.