Organization
BOHDAN KROCZEK SURGICAL, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOHDAN KROCZEK M.D. (PRESIDENT)
(847) 840-2885
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 221, CHICAGO, IL 60631-3745
(773) 763-1234
Mailing address
7447 W TALCOTT AVE, SUITE 221, CHICAGO, IL 60631-3745
(773) 763-1234
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-074391
IL
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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