Provider Demographics
NPI:1083454847
Name:CHIMERA, CHRISTINE LYNN (MA)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:LYNN
Last Name:CHIMERA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:LYNN
Other - Last Name:HORST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 N. MICHIGAN AVE. SUITE 1900
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-3700
Mailing Address - Country:US
Mailing Address - Phone:312-964-4694
Mailing Address - Fax:
Practice Address - Street 1:333 N. MICHIGAN AVE. SUITE 1900
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-3700
Practice Address - Country:US
Practice Address - Phone:312-964-4694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health