Individual
CHRISTOPHER JOHN VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(608) 756-6278
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
276649
NY
207P00000X
Emergency Medicine Physician
Primary
35.125826
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121463
—
OH
01
—
H232330
MEDICARE PTAN
OH
Enumeration date
04/11/2012
Last updated
12/19/2024
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