Provider Demographics
NPI:1295754430
Name:ENGELER, CHRISTOPHER E (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:E
Last Name:ENGELER
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 1:55 E ERIE ST APT 3301
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2256
Mailing Address - Country:US
Mailing Address - Phone:952-607-6619
Mailing Address - Fax:
Practice Address - Street 1:1948 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5321
Practice Address - Country:US
Practice Address - Phone:319-364-0121
Practice Address - Fax:319-364-5684
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA376012085R0202X
IL036-1159202085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1295754430Medicaid
WI32461700Medicaid
IA1295754430Medicaid
MN300004345Medicare PIN
MN300004346Medicare PIN
WI006804070Medicare PIN
MN03083COOtherBLUE CROSS AND BLUE SHIELD OF MN
MN254733OtherMIDLANDS CHOICE, INC
E90364Medicare UPIN
MN1295754430OtherMEDICA
MNP00437111OtherRAILROAD MEDICARE MN
MN100671OtherUCARE
MN960371010263OtherPREFERRED ONE
MN176525600Medicaid
MN300004347Medicare PIN
MN1295754430OtherAMERICA'S PPO
WI005956135Medicare PIN