Provider Demographics
NPI:1871393769
Name:GAINEY, CHRISTINA OLIVIA
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:OLIVIA
Last Name:GAINEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1353 S CALIFORNIA AVE APT 1R
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-4738
Mailing Address - Country:US
Mailing Address - Phone:215-987-8550
Mailing Address - Fax:
Practice Address - Street 1:412 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-3227
Practice Address - Country:US
Practice Address - Phone:215-987-8550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator