Individual
CHRISTOPHER L GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 N 4TH ST, SPRINGFIELD, IL 62702-5238
(217) 757-8100
(217) 757-8161
Mailing address
PO BOX 19670, SPRINGFIELD, IL 62794-9670
(217) 757-8100
(217) 757-8161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036088030
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088030
—
IL
Enumeration date
10/20/2005
Last updated
10/23/2020
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