Individual
CHRISTOPHER L SUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1321 GREENWOOD AVE, SUITE D, DEERFIELD, IL 60015-2709
(225) 354-9058
Mailing address
1321 GREENWOOD AVE, SUITE D, DEERFIELD, IL 60015-2709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64873-21
WI
207YS0123X
Facial Plastic Surgery Physician
64873-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625965
—
LA
Enumeration date
01/26/2006
Last updated
04/25/2017
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