Organization
EMILY CHATSKIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY CHATSKIS MD (PRESIDENT)
(773) 275-8042
Entity
Organization
Contact information
Practice address
505 N WOLF RD, WHEELING, IL 60090-3027
(847) 520-2920
(847) 520-2925
Mailing address
2592 VIOLET ST, GLENVIEW, IL 60026-8033
(847) 657-0053
(773) 275-1910
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036098264
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001626778
BLUE CROSS BLUE SHIELD
IL
01
—
0007246298
AETNA
IL
05
—
036098264
—
IL
01
—
177490591478
HUMANA
IL
01
—
9049076
PHCS
IL
Enumeration date
06/12/2007
Last updated
11/24/2014
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