Individual
CHRISTOPHER DUNBAR ILLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1224 MAIN ST, BRANFORD, CT 06405-3778
(203) 481-0315
(203) 481-6788
Mailing address
687 MAIN ST, BRANFORD, CT 06405-3612
(203) 481-7050
(203) 481-6788
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
043283
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001432830
—
CT
Enumeration date
03/23/2006
Last updated
01/12/2024
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