Provider Demographics
NPI:1992819916
Name:JAPOUR, CHRISTOPHER JOHN (DPM)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:JAPOUR
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1482
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544
Mailing Address - Country:US
Mailing Address - Phone:630-439-4343
Mailing Address - Fax:
Practice Address - Street 1:516 W LOCKPORT RD
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-1832
Practice Address - Country:US
Practice Address - Phone:815-254-3338
Practice Address - Fax:815-436-8367
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016-004837213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL016-004837Medicaid
ILPENDINGMedicaid
IL016-004837Medicaid
ILU43553Medicare UPIN
IL273960Medicare ID - Type UnspecifiedFOOT AND ANKLE SPECIALIST