Individual
EDWARD W MILLUNCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12465 COPPER LN, HUNTLEY, IL 60142-6422
(224) 858-4391
Mailing address
12465 COPPER LN, HUNTLEY, IL 60142-6422
(224) 858-4391
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55617
MA
Other
Enumeration date
11/16/2006
Last updated
08/29/2009
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