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NPI Code Detail

MEDICARE: S. CHRISTOPHER MALAISRIE M.D.

MEDICARE: S. CHRISTOPHER MALAISRIE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianA95122CA
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician036105677IL

General Provider Information

NPI Number : 1801904008
Entity Type Code : Individual
Provider Name (Legal Business Name) : S. CHRISTOPHER MALAISRIE M.D.
Provider Business Mailing Address
First Line : 251 EAST HURON ST
Second Line : GALTER 3 150
City : CHICAGO
State : IL
Zip : 60611
Country : US
Telephone Number : 312-695-2517
Fax Number :
Provider Business Practice Location Address
First Line : 675 N SAINT CLAIR ST STE 19-100
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5969
Country : US
Telephone Number : 312-664-3278
Fax Number : 312-695-2461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 01/30/2025

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