Individual
DR. MARKO J JACHTOROWYCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5747 DEMPSTER ST, SUITE 100, MORTON GROVE, IL 60053-3056
(847) 663-1030
(847) 663-1039
Mailing address
5747 DEMPSTER ST, SUITE 100, MORTON GROVE, IL 60053-3056
(847) 663-1030
(847) 663-1039
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
036080243
IL
207VG0400X
Gynecology Physician
036080243
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036080243
—
IL
Enumeration date
12/05/2005
Last updated
11/15/2013
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