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MR. CHRISTOPHER JOHN DIFFERDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 664-2617
(815) 664-5204
Mailing address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 664-2617
(815) 664-5204

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004245
IL

Other

Enumeration date
11/29/2011
Last updated
08/03/2020
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