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General NPI Number Information
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NPI Number | 1013993104
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Entity Type | Individual
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Provider Name | CHRISTOPHER C CAUDILL MD
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1950 W. POLK ST DEPT OF EMERGENCY MEDICINE; 7TH FLOOR; PROFESSIONAL BLD
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 847-204-8650
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 W. POLK ST DEPT OF EMERGENCY MEDICINE; 7TH FLOOR; PROFESSIONAL BLD
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 847-204-8650
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 36098229
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036-098229
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License Number State | IL
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