Organization
ADVANCED FAMILY CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALYNA BORYSLAVSKA MD (PRESIDENT)
(773) 276-6831
Entity
Organization
Contact information
Practice address
2246 W CHICAGO AVE, CHICAGO, IL 60622-4827
(773) 276-6831
(773) 276-9394
Mailing address
2246 W CHICAGO AVE, CHICAGO, IL 60622-4827
(773) 276-6831
(773) 276-9394
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036119204
IL
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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