Provider Demographics
NPI:1720069248
Name:WINTER, CHRISTINE S (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:S
Last Name:WINTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:S
Other - Last Name:WINTER MASSIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:25070 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1250
Mailing Address - Country:US
Mailing Address - Phone:847-585-7000
Mailing Address - Fax:847-240-0622
Practice Address - Street 1:908 N ELM ST
Practice Address - Street 2:STE 210
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3635
Practice Address - Country:US
Practice Address - Phone:630-654-8457
Practice Address - Fax:630-654-4902
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036061285207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP08208OtherPIN
IL036061285Medicaid
738710Medicare ID - Type Unspecified
ILP08208OtherPIN
IL632020010Medicare PIN
C42892Medicare UPIN