Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301058478 | MI |
N | 111NI0900X | Internist | 4301058478 | MI |
Y | 207RH0002X | Hospice and Palliative Medicine | 036139505 | IL |
NPI | 1194721217 |
---|---|
Provider Name | Dr. Christopher H Strayhorn |
First Address | Barrington, IL 60010-3141 |
Second Address | Barrington, IL 60010-3141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 28/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11-0111603-1 | BCBS (01) | MI |
38-3512985 | TAX I.D. (01) | MI |
4407235 | (05) | MI |
76-30013 | PHYSICIANS HEALTH PLAN (01) | MI |
F00539 | (02) | MI |