Provider Demographics
NPI:1508032715
Name:ODONOGHUE, CRISTINA M (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:M
Last Name:ODONOGHUE
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:1725 W HARRISON ST STE 810
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3863
Mailing Address - Country:US
Mailing Address - Phone:312-942-5500
Mailing Address - Fax:312-563-2080
Practice Address - Street 1:1725 W HARRISON ST STE 810
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3863
Practice Address - Country:US
Practice Address - Phone:312-942-5500
Practice Address - Fax:312-563-2080
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.143014208600000X, 2086X0206X
FLME123563208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery