Healthcare Provider Details

I. General information

NPI: 1104023092
Provider Name (Legal Business Name): CHRISTOPHER WILLIAM NAU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N 4TH ST
CHILLICOTHEE IL
61523-2059
US

IV. Provider business mailing address

311 N 4TH ST
CHILLICOTHEE IL
61523-2059
US

V. Phone/Fax

Practice location:
  • Phone: 309-274-4336
  • Fax: 309-274-3120
Mailing address:
  • Phone: 309-274-4336
  • Fax: 309-274-3120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036125692
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036125692
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: