Christina Boutsicaris
Rheumatology
1000 Central St Ste 800
Evanston
, Illinois 60201-1780
Christina Boutsicaris
Rheumatology
1000 Central St Ste 800
Evanston
, Illinois 60201-1780
(847) 570-3060
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Christina Boutsicaris
- 1000 Central St Ste 800
- Evanston, IL
- Zip : 60201-1780
- Fax : (847) 570-3060
- Phone : (847) 570-2503
Second Address
- Christina Boutsicaris
- 1000 Central St Ste 800
- Evanston, IL
- Zip : 60201-1780
- Fax : (847) 570-1123
- Phone : (847) 570-1122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 036.143907 | IL |
National Provider Identifier
| NPI | 1063832996 |
|---|---|
| Provider Name | Christina Boutsicaris |
| First Address | Evanston, IL 60201-1780 |
| Second Address | Evanston, IL 60201-1780 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2014 |
| Last Update Date | 20/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.