Caudill, Christopher C
Caudill, Christopher C is an individual health care provider with primary practice located at 660 N Westmoreland Rd Northwestern Lake Forest Hospital Emergency Department, Lake Forest IL 60045-1659. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Caudill, Christopher C can be contacted via phone (847) 535-7917.Contact Information
Primary practice address
660 N Westmoreland Rd Northwestern Lake Forest Hospital Emergency Department
Lake Forest IL 60045-1659
Phone: (847) 535-7917
Fax: (847) 535-7801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 36098229 | Illinois |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-098229 | Illinois |
Profile Details
NPI number | 1013993104 |
---|---|
LBN Legal business name | Caudill, Christopher C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2005 |
Last updated | Apr 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013993104 | NPPES |
Illinois | MEDICAID | 36098229 |
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