Provider Demographics
NPI:1942562889
Name:HOWSE, CHRISTOPHER JAMES (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:HOWSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 KLEEMANN DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IL
Mailing Address - Zip Code:61727-2633
Mailing Address - Country:US
Mailing Address - Phone:217-935-5022
Mailing Address - Fax:217-935-9592
Practice Address - Street 1:1231 KLEEMANN DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IL
Practice Address - Zip Code:61727-2633
Practice Address - Country:US
Practice Address - Phone:217-935-5022
Practice Address - Fax:217-935-9592
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012017088207Q00000X
IL036.137031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine