MEDICARE: CHRISTOPHER JAMES MAGULICK DO

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
1	207Q00000X	Family Medicine Physician	036.174584	IL

General Provider Information

NPI Number	:	1033841374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JAMES MAGULICK DO

Provider Business Mailing Address
First Line	:	2450 S TELSHOR BLVD
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-5076
Country	:	US
Telephone Number	:	575-521-5385
Fax Number	:	575-521-5568

Provider Business Practice Location Address
First Line	:	610 N COURT ST
Second Line	:
City	:	GRAYVILLE
State	:	IL
Zip	:	62844-1002
Country	:	US
Telephone Number	:	618-375-7101
Fax Number	:	618-375-7183

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2022
Last Update Date	:	10/07/2025

Similar Medicare Providers

1477645216 — KEITH C WINTERNHEIMER DDS PC
Practice Location Address:

610 NORTH COURT
GRAYVILLE, IL
62844-1002

Practice Phone: 618-375-6341
Practice Fax:

1700920097 — KETAN C. VYAS, M.D., LLC
Practice Location Address:

610 N COURT ST
GRAYVILLE, IL
62844-1002

Practice Phone: 618-375-7101
Practice Fax: 618-375-7183

1225173347 — ALICIA KINSOLVING PA-C
Practice Location Address:

610 N COURT ST
GRAYVILLE, IL
62844-1002

Practice Phone: 618-375-7101
Practice Fax: 618-375-7183

1598075038 — EVELYN MARIE SALHANI PA-C
Practice Location Address:

610 N COURT ST
GRAYVILLE, IL
62844-1002

Practice Phone: 618-203-6536
Practice Fax:

1700221074 — DR. KEITH CLARENCE WINTERNHEIMER DDS
Practice Location Address:

610 NORTH COURT
GRAYVILLE, IL
62844-1002

Practice Phone: 618-375-6341
Practice Fax:

1942774153 — WABASH GENERAL HOSPITAL DISTRICT
Practice Location Address:

610 N COURT ST
GRAYVILLE, IL
62844-1002

Practice Phone: 618-375-7101
Practice Fax: 618-375-7183

Directions to “ CHRISTOPHER JAMES MAGULICK DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.