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Individual

DR. GEORGE WILLIAM CHRISTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036105490
IL
207RC0000X
Cardiovascular Disease Physician
036105490
IL
207RI0011X
Interventional Cardiology Physician
Primary
036105490
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001628870
BC/BS
IL
05
036105490
IL
05
200945490A
IN
05
200945490B
IL
Enumeration date
05/23/2006
Last updated
12/15/2021
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