# DR GEORGE CHARUK S C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619598018
- **Authorized official:** DR. GEORGE CHARUK DO (OWNER/PRESIDENT)
- **Authorized official phone:** (630) 947-3912

## Contact information

- **Practice address:** 2940 W 95TH ST, EVERGREEN PARK, IL 60805-2408
- **Practice address phone:** (630) 366-0012
- **Practice address fax:** (404) 328-7835
- **Mailing address:** 101 WOODLAND DR, OAK BROOK, IL 60523-1416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2020
- **Last updated:** 09/29/2020