Individual
DR. PHILIP NATHANIEL JURASINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(708) 751-2340
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
179993-30
WI
163W00000X
Registered Nurse
2021033345
MO
207R00000X
Internal Medicine Physician
036.174274
IL
207R00000X
Internal Medicine Physician
2021021932
MO
207RI0200X
Infectious Disease Physician
Primary
036.174274
IL
208000000X
Pediatrics Physician
036.174274
IL
208000000X
Pediatrics Physician
2021021932
MO
2080P0208X
Pediatric Infectious Diseases Physician
036.174274
IL
363LP0200X
Pediatric Nurse Practitioner
2021040593
MO
Other
Enumeration date
08/05/2012
Last updated
05/09/2025
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