Individual
DR. GEORGE WILLIAM CHRISTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22285 N PEPPER RD, LAKE BARRINGTON, IL 60010-2538
(224) 357-8133
(224) 357-8048
Mailing address
22285 N PEPPER RD STE 103, LAKE BARRINGTON, IL 60010-2539
(224) 357-8133
(847) 717-7313
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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