Doctor Name: | CHRISTOPHER C CAUDILL |
NPI Number: | 1013993104 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 36098229 |
Business Practice Address: | 660 N Westmoreland Rd Northwestern Lake Forest Hospital Emergency Department Lake Forest, IL - 600451659 |
Business Phone Number: | 8475357917 |
Business Fax Number: | 8475357801 |
Mailing Address: | 75 Remittance Dr, Suite 1951 CHICAGO |
State: | IL |
Postal Code: | 606751001 |
Phone Number: | 8475357917 |
Fax Number: | 8475357801 |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 05/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 36098229 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |