Basic Information
| Provider Information | |||||||||
| NPI: | 1942562889 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOWSE | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | JAMES | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1231 KLEEMANN DR | ||||||||
| Address2: | |||||||||
| City: | CLINTON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 617272633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2179355022 | ||||||||
| FaxNumber: | 2179359592 | ||||||||
| Practice Location | |||||||||
| Address1: | 1231 KLEEMANN DR | ||||||||
| Address2: | |||||||||
| City: | CLINTON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 617272633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2179355022 | ||||||||
| FaxNumber: | 2179359592 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2012 | ||||||||
| LastUpdateDate: | 07/15/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 2012017088 | MO | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 036.137031 | IL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.