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NPI 1558484337

NPI 1558484337 : CHRISTOPHER CASEY MCGEE PA-C, MMS : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1558484337
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER CASEY MCGEE PA-C, MMS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/09/2007
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    Last Update Date     |    08/07/2024
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Provider Practice Location Address
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    Address Line         |    1520 W HARRISON ST FL 6 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60607-3106
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    Country              |    US
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    Telephone            |    773-343-6663
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1520 W HARRISON ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60607-3106
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    Country              |    US
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    Telephone            |    
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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        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    085002956
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    License Number State |    IL
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