Individual provider · Type 1 NPI

Carlton Everton Ivor Christian Jr., MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1386225472 Active

Practice location

5841 S Maryland Ave, Mc 7082
Chicago, IL 60637-1443

Call (773) 702-1455 Map

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386225472

Carlton Everton Ivor Christian Jr., MD's National Provider Identifier is 1386225472, issued on Apr 20, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 20, 2021.