Provider Demographics
NPI:1609675750
Name:BECKER, CHRISTINE ANN (RN)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN
Last Name:BECKER
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 MARBELLA DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-1123
Mailing Address - Country:US
Mailing Address - Phone:630-723-4461
Mailing Address - Fax:
Practice Address - Street 1:1848 MARBELLA DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60124-1123
Practice Address - Country:US
Practice Address - Phone:630-723-4461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041374047163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse