Individual
DR. CHRISTOPHER THOMAS MULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3088
(217) 383-4468
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3088
(217) 383-4468
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036122324
IL
2080P0206X
Pediatric Gastroenterology Physician
Primary
036122324
IL
2080P0206X
Pediatric Gastroenterology Physician
J8326
TX
Other
Enumeration date
03/23/2006
Last updated
05/22/2025
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