Individual
CHRISTOPHER F WASSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 N WALNUT ST, CHAMPAIGN, IL 61820-3055
(217) 819-1587
Mailing address
202 N COLFAX ST, MONTICELLO, IL 61856-1542
(217) 819-1587
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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