Organization
AURORA HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENNADII KARANDIEIEV (OWNER)
(773) 672-2561
Entity
Organization
Contact information
Practice address
1502 W CHICAGO AVE, CHICAGO, IL 60642-5236
(773) 672-2561
(773) 672-2560
Mailing address
1502 W CHICAGO AVE, CHICAGO, IL 60642-5236
(773) 672-2561
(773) 672-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.059705
IL
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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