Individual
DR. KRISTOPHER TODD CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 545-0182
(217) 545-4735
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(217) 588-2624
(217) 757-7550
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036132674
IL
207R00000X
Internal Medicine Physician
125-056927
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036132674
MD LICENSE
IL
Enumeration date
06/26/2009
Last updated
01/18/2021
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