Provider Demographics
NPI:1144519323
Name:WEST, CHRISTOPHER
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:WEST
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 E 50TH PL
Mailing Address - Street 2:APT 1W
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-2519
Mailing Address - Country:US
Mailing Address - Phone:909-556-5807
Mailing Address - Fax:
Practice Address - Street 1:651 E 50TH PL
Practice Address - Street 2:APT 1W
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-2519
Practice Address - Country:US
Practice Address - Phone:909-556-5807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst