Individual
DR. JASON DOMINICK CHODAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 E ONTARIO ST, SUITE 200, CHICAGO, IL 60611-3468
(312) 926-9512
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 535-6150
(847) 535-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036149267
IL
207P00000X
Emergency Medicine Physician
125.068312
IL
Other
Enumeration date
02/02/2015
Last updated
07/23/2020
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