Individual
JEFFREY P CHRISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-7053
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(844) 470-2488
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036088219
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00412567
RAILROAD
IL
05
—
036088219
—
IL
Enumeration date
11/09/2005
Last updated
11/20/2023
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