Dr. Christopher Lawrence Pulliam
Podiatrist Sports Medicine Foot Surgery
3001 A 6th St Naval Health Clinic
Great Lakes
, Illinois 60088
Dr. Christopher Lawrence Pulliam
Podiatrist Sports Medicine Foot Surgery
3001 A 6th St Naval Health Clinic
Great Lakes
, Illinois 60088
(913) 708-4802
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About
Features
Specialties
- Podiatrist
- Sports Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Christopher Lawrence Pulliam
- 3098 Chatfield Drive
- Highland Park, IL
- Zip : 60035
- Phone : (913) 708-4802
Second Address
- Dr. Christopher Lawrence Pulliam
- 3001 A 6th St Naval Health Clinic
- Great Lakes, IL
- Zip : 60088
- Phone : (847) 688-3995
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 12-00359 | KS |
| Y | 222Z00000X | Podiatrist | 12-00359 | KS |
| N | 2081S0010X | Sports Medicine | 0359 | KS |
| N | 213ES0000X | Sports Medicine | 0359 | KS |
| N | 213ES0131X | Foot Surgery | 12-00359 | KS |
National Provider Identifier
| NPI | 1134183270 |
|---|---|
| Provider Name | Dr. Christopher Lawrence Pulliam |
| First Address | Highland Park, IL 60035 |
| Second Address | Great Lakes, IL 60088 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2006 |
| Last Update Date | 15/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12-00359 | KANSAS LICENSE NUMBER (01) | KS |
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.