# DR. CHRISTOPHER WOMACK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902450315
- **Authorized official:** CHRISTOPHER WOMACK MD (PRESIDENT)
- **Authorized official phone:** (224) 306-1879

## Contact information

- **Practice address:** 60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
- **Practice address phone:** (224) 306-1879
- **Practice address fax:** (224) 205-3757
- **Mailing address:** PO BOX 506, NORTHBROOK, IL 60065-0506
- **Mailing address phone:** (224) 306-1879
- **Mailing address fax:** (224) 205-3757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2019
- **Last updated:** 07/25/2019