Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036130101 | IL |
N | 111NI0900X | Internist | 036130101 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 036130101 | IL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 036130101 | IL |
NPI | 1306073044 |
---|---|
Provider Name | Dr. Christopher Atticus Henry |
First Address | Arlington Heights, IL 60005-2379 |
Second Address | Arlington Heights, IL 60005-2379 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2009 |
Last Update Date | 29/04/2021 |