Provider Demographics
NPI:1396910261
Name:WIGFIELD, CHRISTOPHER (MD, MD, FRCS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:WIGFIELD
Suffix:
Gender:M
Credentials:MD, MD, FRCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 N MARION ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1530
Mailing Address - Country:US
Mailing Address - Phone:708-574-9631
Mailing Address - Fax:773-702-4187
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:UNIVERSITY OF CHICAGO MEDICINE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-3551
Practice Address - Fax:773-702-4187
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILNA208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)