Organization
AKI AND KROCZEK SURGICAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TABATHA MAGNUS (OFFICE MANAGER)
(773) 763-1234
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 221, CHICAGO, IL 60631-3745
(773) 763-1234
(773) 631-1650
Mailing address
7447 W TALCOTT AVE, SUITE 221, CHICAGO, IL 60631-3745
(773) 763-1234
(773) 631-1650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-074391
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-074391
—
IL
05
—
036-096989
—
IL
01
—
CN7023
RR MEDICARE PTAN
IL
Enumeration date
09/13/2006
Last updated
07/30/2010
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