# CHRISTINE M MARCOTTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104879477
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02201263A | IN | Yes |
| 207Q00000X | Family Medicine Physician | 036085404 | IL | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 04/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000366439 | ANTHEM | IN |
| 05 | — | 036085404 | — | IL |
| 01 | — | 080191173 | RAILROAD | IL |
| 05 | — | 200160420A | — | IN |
| 01 | — | 9932077 | BCBS | IL |
| 01 | — | CK6207 | RAILROAD - GROUP | IL |
| 01 | — | DE6640 | RAILROAD-GROUP | IN |
| 01 | — | P00307560 | RAILROAD | IN |
