Organization
WILLIAM SYCHANGCO M.D. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM W. SYCHANGCO M.D. (PRESIDENT)
(773) 772-5334
Entity
Organization
Contact information
Practice address
1802 W CHICAGO AVE, CHICAGO, IL 60622-5512
(773) 772-5334
(773) 772-2947
Mailing address
1802 W CHICAGO AVE, CHICAGO, IL 60622-5512
(773) 772-5334
(773) 772-2947
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036048417
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048417
—
IL
Enumeration date
08/21/2009
Last updated
08/21/2009
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