Provider Demographics
NPI:1851427306
Name:SCANDINARO, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:SCANDINARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:
Other - Last Name:SCANDINARO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD PC
Mailing Address - Street 1:400 N MICHIGAN AVENUE WRIGLEY BLDG
Mailing Address - Street 2:SUITE 1110
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4161
Mailing Address - Country:US
Mailing Address - Phone:312-467-0400
Mailing Address - Fax:312-467-0066
Practice Address - Street 1:400 N MICHIGAN AVENUE WRIGLEY BLDG
Practice Address - Street 2:SUITE 1110
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4161
Practice Address - Country:US
Practice Address - Phone:312-467-0400
Practice Address - Fax:312-467-0066
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
D14124Medicare UPIN