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General NPI Number Information
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NPI Number | 1346744836
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Entity Type | Individual
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Provider Name | CHRISTOPHER ROBERT WANDERLING MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 100 SPALDING DR
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City | NAPERVILLE
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State | IL
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Zip | 60540-6550
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Country | US
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Telephone | 331-221-9004
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SPALDING DR
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City | NAPERVILLE
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State | IL
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Zip | 60540-6550
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Country | US
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Telephone | 331-221-9004
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 125.071765
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 036173489
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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