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Individual

DR. EVAN PUSHCHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 799-8000
Mailing address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-133461
IL

Other

Enumeration date
06/15/2010
Last updated
01/06/2014
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