Individual
DR. JEFFREY BENJAMIN WYGODNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M,D,
Contact information
Practice address
2128 W CORTEZ ST, CHICAGO, IL 60622-3601
(773) 593-4607
Mailing address
2128 W CORTEZ ST, CHICAGO, IL 60622-3601
(773) 593-4607
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036090678
IL
Other
Enumeration date
08/19/2006
Last updated
05/20/2008
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