Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 036.144713 | IL |
N | 207T00000X | Neurosurgeon | L-247864 | MA |
NPI | 1083908099 |
---|---|
Provider Name | Christopher James Stapleton |
First Address | Boston, MA 02114 |
Second Address | Chicago, IL 60612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2011 |
Last Update Date | 23/08/2018 |