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Individual

CHRISTOPHER L MYGATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2300 S 1ST ST, CHAMPAIGN, IL 61820-7661
(217) 383-9400
(217) 383-9694
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2501
(217) 902-6954
(217) 902-7711

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005747
IL
363A00000X
Physician Assistant
2023008003
MO
363A00000X
Physician Assistant
8555
AZ
363A00000X
Physician Assistant
TX

Other

Enumeration date
05/28/2015
Last updated
06/10/2025
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