Individual
LYUBOMYR DIDYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2337 W WALTON ST APT 1, CHICAGO, IL 60622-4818
(773) 895-3801
Mailing address
2337 W WALTON ST APT 1, CHICAGO, IL 60622-4818
(773) 895-3801
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000451
IL
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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