Individual
SEVERKO HRYWNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4958 W IRVING PARK RD, CHICAGO, IL 60641-2640
(773) 794-4958
(773) 794-4950
Mailing address
4958 W IRVING PARK RD, CHICAGO, IL 60641-2640
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001284
BC/BS OF IL PROVIDER NUMB
IL
Enumeration date
09/24/2007
Last updated
09/24/2007
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