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Christina L Midkiff Md Sc
Specialist in Maryville, Illinois
NPI 1518031558

Christina L Midkiff Md Sc is a Specialist based in Maryville, IL. Christina L Midkiff Md Sc practices in Maryville, IL. The NPI Number for Christina L Midkiff Md Sc is 1518031558 and holds a License No. 036097885 (Illinois).

The current practice location address for Christina L Midkiff Md Sc is 2023 Vadalabene Dr, Maryville, IL and can be reached out via phone at 618-288-7408 and via fax at 618-288-7418.

Location: 2023 Vadalabene Dr, Maryville, IL, 62062-5630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518031558
Provider Name
Christina L Midkiff Md Sc
Credential
Provider Entity Type
Organization
Address
2023 Vadalabene Dr, Maryville, IL, 62062-5630
Phone Number
618-288-7408
Fax Number
618-288-7418
Provider Enumeration Date
11/20/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036097885 05 IL
214530 01 IL MEDICARE GROUP NUMBER
DF8821 01 IL MEDICARE RAILROAD
K33873 01 IL MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2023 Vadalabene Dr
City
Maryville
State
Illinois
Zip
62062-5630
Phone Number
618-288-7408
Fax Number
618-288-7418
person
Provider Business Mailing Address Details
Address
2023 Vadalabene Dr
City
Maryville
State
Illinois
Zip
62062-5630
Phone Number
618-288-7408
Fax Number
618-288-7418
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036097885 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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