Basic Information
Provider Information
NPI: 1952393860
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TAUFEN
FirstName: CHRISTINA
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 680 N LAKE SHORE DR
Address2:  
City: CHICAGO
State: IL
PostalCode: 606114546
CountryCode: US
TelephoneNumber: 3126956868
FaxNumber:  
Practice Location
Address1: 635 N DEARBORN ST
Address2:  
City: CHICAGO
State: IL
PostalCode: 606544618
CountryCode: US
TelephoneNumber: 3126942273
FaxNumber: 3126942129
Other Information
ProviderEnumerationDate: 08/17/2005
LastUpdateDate: 01/26/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X036.122809ILY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home