Organization
KIRKOR VAHE KARACHORLU MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRKOR V KARACHORLU MD (PRESIDENT)
(773) 962-4428
Entity
Organization
Contact information
Practice address
326 W 64TH ST, CHICAGO, IL 60621-3114
(773) 962-4428
Mailing address
PO BOX 2910, INDIANAPOLIS, IN 46206-2910
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036044607
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01638869
ANTHEM BCBS OF IL
IL
01
—
031600704
BCBS IL
IL
05
—
036044607
—
IL
05
—
198437300
—
MN
05
—
200334830
—
IN
01
—
220001770
RR MEDICARE
IL
05
—
2360243
—
OH
05
—
80997400
—
WI
Enumeration date
05/15/2007
Last updated
06/04/2008
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