Individual
DR. CARROLL CHRISTOPHER CHRISTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-5424
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-5424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A144024
CA
Other
Enumeration date
05/25/2013
Last updated
05/01/2019
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