Individual
DR. GARY ROMAN OGURKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10021 SOUTH WESTERN AVENUE, CHICAGO, IL 60643
(773) 779-6111
(773) 779-6666
Mailing address
PO BOX 43090, CHICAGO, IL 60643
(773) 779-6111
(773) 779-6666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632908
BLUE SHIELD
IL
Enumeration date
03/27/2007
Last updated
07/08/2007
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