Individual
CHRISTOPHER WILLIAM MAENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9247
Mailing address
PO BOX 9469, SPRINGFIELD, IL 62791-9469
(217) 547-9100
(217) 547-9247
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036.118194
IL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
036118194
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118194
—
IL
01
—
P00647572
RAILROAD MEDICARE
IL
Enumeration date
04/25/2007
Last updated
04/13/2020
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