Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christian Samuel Wirawan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386394575

Christian Samuel Wirawan, DO is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1401 S California Ave
Chicago, IL 60608-1694
Phone: (773) 565-3008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.079572 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
General Practice Physician Taxonomy 208D00000X · Licence 036.171642 (IL)

Record details

NPI number1386394575
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address1401 S California Ave Ste 1, Chicago, IL 60608-1694

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