DR. CHRISTOPHER MULLETT D.O. NPI 1306806518

NPI Information

  • NPI: 1306806518
  • Provider Name: DR. CHRISTOPHER MULLETT, D.O.
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 NE GLEN OAK AVENUE
    STE 401
    PEORIA, IL
    ZIP 61603
  • Phone: (309) 624-9844

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NPI Details

DR. Christopher Mullett, D.O. is a pediatric gastroenterology pediatrics in Peoria, IL with 38 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Christopher Mullett, D.O. NPI is 1306806518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:1987

The provider's business location address is:

420 NE GLEN OAK AVENUE
STE 401
PEORIA, IL
ZIP 61603
Phone: (309) 624-9844

The NPI 1306806518 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 2/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0206XPediatricsPediatric GastroenterologyJ8326TEXASNo
22080P0206XPediatricsPediatric Gastroenterology036122324ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G81043MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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