Christopher James Therasse M.D.

NPI 1811220007 - Internal Medicine - 207R00000X

NPI Details
NPI 1811220007
Gender Male
Enumeration Date 09/07/2009
Last Updated 01/07/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
251 E HURON ST
CHICAGO IL, 60611-2908, US
Phone (312) 926-2000
Fax
Business Location
3264 N EVERGREEN DR NE
UNIT 1604
GRAND RAPIDS MI, 49525-9746, US
Phone (616) 363-7339
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 125056692
Remove 1811220007 NPI Number
 

According to our database, Dr. Christopher James Therasse M.D. NPI is 1811220007, taxonomy code is 207R00000X and license number is 125056692, license state is located at Illinois. Christopher James Therasse M.D. physically located at 251 E Huron St, Chicago IL, 60611-2908. NPI Number Christopher James Therasse M.D. has the Individual type.

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1811220007 NPI number is provided on an as is basis without warranty of any kind. 1811220007 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher James Therasse M.D. are for informational purposes only.