Christa Eastburn
Peer Specialist

Address: 30 N Michigan Ave # 420424, Chicago, IL 60602-3402
Phone: 3122799981

Christa Eastburn (NPI# 1275130452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1275130452
Entity Type Individual
Full Name Christa Eastburn
Gender Female
Practice Address 30 N Michigan Ave # 420424
IL 60602-3402
Practice Telephone 3122799981
Mailing Address 30 N Michigan Ave # 420424
IL 60602-3402
Mailing Telephone 3122799981
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-10-01
Last Update Date 2020-10-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 175T00000X Peer Specialist Other Service Providers

Other Provider Identifier

State Identifier Issuer Type Code

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639783244 Edward Michael Maher IIi Peer Specialist 1900 E Main St, Danville, IL 61832-5100 2020-09-01
1447737424 Gloria C Centeno Peer Specialist 8324 Skokie Blvd, Skokie, IL 60077-2545 2018-07-23
1083107759 Heather Lee White Peer Specialist 750 Broadway Ave E, Mattoon, IL 61938-4610 2018-06-07
1154853638 Kelsey E Neale Peer Specialist 405 Central Ave, Northfield, IL 60093-3006 2017-04-03
1891235024 Juliette Maria Rigdon Peer Specialist 12 Health Services Dr, Dekalb, IL 60115-9637 2017-03-07

Office Location

Street Address 30 N MICHIGAN AVE # 420424
State IL
Zip Code 60602-3402

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710539705 Biyang Wang Social Worker 9 W Washington St, Chicago, IL 60602 2019-07-10
1538724349 Megan Asta Sarasek Social Worker 134 N Lasalle Street, Suite 400, Chicago, IL 60602 2019-05-07
1659850691 Sara Chen Dentist 105 West Madison, 3rd Floor, Chicago, IL 60602 2018-08-10
1942795059 Pratiti Rajeshkumar Gandhi Dentist 33 N Dearborn St Ste 2400, Chicago, IL 60602 2018-06-30
1154833994 Ywca Metropolitan Chicago Counselor 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 2017-11-02
1013434620 Michelle Malters Counselor 30 N Michigan Ave Ste 1909, Chicago, IL 60602 2017-08-24
1740729474 Jd Manikowski, D.d.s., LLC Health Maintenance Organization 30 N. Michigan Ave #1520, Chicago, IL 60602 2017-02-14
1568909943 Pratiksha Agrawal Dentist 105 W Madison St Fl 3, Chicago, IL 60602 2017-01-24
1790221521 Anastasia Scangas Social Worker 30 N Michigan Ave Ste 826, Chicago, IL 60602 2017-01-18
1194269837 Jenna Peterson Psychologist 111 N Wabash Ave Ste 822, Chicago, IL 60602 2016-12-15
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Zip Code 60602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.