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NPI Code Detail

MEDICARE: CHRISTOPHER SCANDINARO MD

MEDICARE: CHRISTOPHER SCANDINARO MD
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
12084P0800XPsychiatry PhysicianIL

General Provider Information

NPI Number : 1851427306
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER SCANDINARO MD
Provider Business Mailing Address
First Line : 400 N MICHIGAN AVENUE WRIGLEY BLDG
Second Line : SUITE 1110
City : CHICAGO
State : IL
Zip : 60611-4161
Country : US
Telephone Number : 312-467-0400
Fax Number : 312-467-0066
Provider Business Practice Location Address
First Line : 400 N MICHIGAN AVENUE WRIGLEY BLDG
Second Line : SUITE 1110
City : CHICAGO
State : IL
Zip : 60611-4161
Country : US
Telephone Number : 312-467-0400
Fax Number : 312-467-0066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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