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Individual

DR. GEORGE R HVOSTIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1860 W WINCHESTER RD STE 107B, LIBERTYVILLE, IL 60048-5312
(847) 996-0836
(847) 996-6278
Mailing address
1860 W WINCHESTER RD STE 107B, LIBERTYVILLE, IL 60048-5312
(847) 996-0836
(847) 996-6278

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036071912
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110059869
RR MEDICARE INDIVIDUAL
IL
01
1616108
BCBS
IL
01
C30486
RR MEDICARE GROUP
IL
Enumeration date
07/05/2005
Last updated
01/21/2022
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