Christian Otto, PH.D

NPI 1144431396 · on the registry since 2007 · sole proprietor

Practice

Address: 9 S Fairview Ave
Suite 203
Park Ridge, IL 60068
Phone: (312) 933-7549
Fax: (312) 873-4738
Organisation at this address: Mary Grant-Angioletti
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 106H00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois