MEDICARE: MR. CHRISTOPHER CASEY MCGEE PA-C, MMS

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	363AS0400X	Surgical Physician Assistant	085002956	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00714809	OTHER	IL	RR MEDICARE

General Provider Information

NPI Number	:	1558484337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER CASEY MCGEE PA-C, MMS

Provider Business Mailing Address
First Line	:	1520 W HARRISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 W HARRISON ST FL 6
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3106
Country	:	US
Telephone Number	:	773-343-6663
Fax Number	:

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

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	08/07/2024

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