Individual
DR. ERIC CHRISTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 N CLARK ST, CHICAGO, IL 60626-4097
(773) 388-1600
Mailing address
6500 N CLARK ST, CHICAGO, IL 60626-4097
(773) 388-1600
(773) 564-4156
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-094098
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-094098
—
IL
01
—
036094098
STATE OF ILLINOIS MEDICAL LICENSE
IL
01
—
336055257
STATE OF ILLINOIS CONTROLLED SUBSTANCE LICENSE
IL
Enumeration date
05/27/2006
Last updated
12/19/2021
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