Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 60 270948 | NY |
N | 111NI0900X | Internist | 60 270948 | NY |
N | 207RC0200X | Critical Care Medicine | 036134847 | IL |
Y | 207RP1001X | Pulmonary Disease | 036134847 | IL |
NPI | 1043584865 |
---|---|
Provider Name | Dr. Christian Jose Ascoli |
First Address | Chicago, IL 60612-4325 |
Second Address | Chicago, IL 60612-4325 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2012 |
Last Update Date | 25/06/2018 |