Individual
DR. CONNOR COMSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 W HARRISON ST STE 744, CHICAGO, IL 60612-3825
(312) 942-3134
Mailing address
1750 W HARRISON ST STE 739, CHICAGO, IL 60612-3825
(312) 942-6170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.078652
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2021
Last updated
06/18/2021
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