Christopher Boisselle M.D.

NPI 1568780740 - Family Medicine - 207Q00000X

NPI Details
NPI 1568780740
Gender Male
Enumeration Date 05/12/2010
Last Updated 03/28/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
836 W WELLINGTON AVE
CHICAGO IL, 60657-5147, US
Phone (773) 975-1600
Fax
Business Location
5025 NORTH CALIFONIA
7TH FLOOR
CHICAGO IL, 60625, US
Phone (312) 666-3494
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036131507
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According to our database, Christopher Boisselle M.D. NPI is 1568780740, taxonomy code is 207Q00000X and license number is 036131507, license state is located at Illinois. Christopher Boisselle M.D. physically located at 836 W Wellington Ave, Chicago IL, 60657-5147. NPI Number Christopher Boisselle M.D. has the Individual type.

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1568780740 NPI number is provided on an as is basis without warranty of any kind. 1568780740 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Boisselle M.D. are for informational purposes only.