Christopher C Stephenson in Chicago - Physician Assistant
Christopher C Stephenson - NPI 1063411098
Christopher C Stephenson is a Physician Assistant in Chicago, Illinois. Christopher C Stephenson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Christopher C Stephenson is 1063411098. The last update date is 2010-02-17.
Christopher C Stephenson's current location address is 5633 Reliable Pkwy, Chicago, Illinois. You can contact this provider via phone number 2609691950 and fax number 2609182137. The mailing address for Christopher C Stephenson is 5633 Reliable Pkwy, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher C Stephenson |
|---|---|
| Address | 5633 Reliable Pkwy, Chicago, Illinois |
| Phone Number | 2609691950 |
| Fax Number | 2609182137 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063411098 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2010-02-17 |
Provider Mailing Address Detail
| Address | 5633 Reliable Pkwy |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606860056 |
| Phone Number | 2609691950 |
| Fax Number | 2609182137 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10000433A |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 340097 | IN | BLUE CROSS/BLUE SHIELD | |
| P00180423 | IN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Christopher C Stephenson's 1063411098?
The Christopher C Stephenson's NPI (National Provider Identifier) Number is 1063411098. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Christopher C Stephenson?
The Christopher C Stephenson is physically situated at 5633 Reliable Pkwy, in the city of Chicago, state of IL, with the postal code 606860056.
What is the Christopher C Stephenson's specialty and taxonomy code?
The Christopher C Stephenson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Christopher C Stephenson's information last updated?
The Christopher C Stephenson's information was last updated on 2010-02-17.
When was the information pertaining to Christopher C Stephenson most recently updated or revised?
The details related to Christopher C Stephenson, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-17.