Individual
RAYISA HONTSCHARUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC, MD, FRCSC
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
1725 W HARRISON ST STE 425, CHICAGO, IL 60612-3893
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036.150103
IL
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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