Individual
DONALD A. JURIVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
820 S WOOD ST, 440-G CSN, MC 717, CHICAGO, IL 60612-4325
(312) 996-9129
(312) 413-8283
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036066817
IL
Other
Enumeration date
08/16/2006
Last updated
06/24/2008
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