Individual
CHRISTOPHER BERNARD GIRARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
422 BROADWAY ST, LIBERTYVILLE, IL 60048-2321
(847) 456-6357
Mailing address
422 BROADWAY ST, LIBERTYVILLE, IL 60048-2321
(847) 456-6357
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
329823
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2018
Last updated
11/15/2022
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