Individual
CHRISTINE AMSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
636 RAYMOND DR STE 200, NAPERVILLE, IL 60563
(630) 355-5302
(630) 778-6088
Mailing address
636 RAYMOND DR STE 200, NAPERIVLLE, IL 60563
(630) 355-5302
(630) 778-6088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-093359
IL
208000000X
Pediatrics Physician
036-093359
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093359
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400148726
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
10/20/2006
Last updated
02/19/2018
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