Organization
CYRIL M CHRABOT MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYRIL M CHRABOT MD (PRESIDENT)
(773) 586-2099
Entity
Organization
Contact information
Practice address
6925 W ARCHER AVE, CHICAGO, IL 60638-2319
(773) 586-2099
(773) 586-8089
Mailing address
6925 W ARCHER AVE, CHICAGO, IL 60638-2319
(773) 586-2099
(773) 586-8089
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021629442
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/04/2008
Last updated
04/18/2008
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