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NPI Code Detail

MEDICARE: CHRISTOPHER L MYERS M.D.

MEDICARE:   CHRISTOPHER L MYERS  M.D.
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
12084P0800XPsychiatry Physician234992MA

General Provider Information

NPI Number : 1457528119
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER L MYERS M.D.
Provider Business Mailing Address
First Line : 300 N STATE ST
Second Line : #5231
City : CHICAGO
State : IL
Zip : 60610-4814
Country : US
Telephone Number : 773-702-9800
Fax Number :
Provider Business Practice Location Address
First Line : 5737 S UNIVERSITY AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1507
Country : US
Telephone Number : 773-702-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2008
Last Update Date : 05/13/2008

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