Organization
CHRISTY CARDIOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE WILLIAM CHRISTY M.D. (SOLE OWNER/PRESIDENT)
(224) 357-8133
Entity
Organization
Contact information
Practice address
912 NORTHWEST HWY, SUITE 4, FOX RIVER GROVE, IL 60021-1925
(224) 357-8133
(224) 357-8048
Mailing address
4400 W 95TH ST, SUITE 205, OAK LAWN, IL 60453-2654
(224) 357-8133
(224) 357-8048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042619401
IL
207RC0000X
Cardiovascular Disease Physician
042619401
IL
207RI0011X
Interventional Cardiology Physician
Primary
042619401
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001628870
BLUECROSSBLUESHIELD
IL
05
—
042619401
—
IL
05
—
1437394590
—
IL
05
—
200940650A
—
IN
05
—
200940650B
—
IN
Enumeration date
12/03/2008
Last updated
01/22/2015
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