Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. CHRISTOPHER GLEN ILACQUA
Active
Individual
MR. CHRISTOPHER GLEN ILACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1017464
MA
208100000X
Physical Medicine & Rehabilitation Physician
MD467051
PA
2255A2300X
Athletic Trainer
2015
MA
Other
Enumeration date
08/29/2009
Last updated
04/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers