Organization
JACK CHULENGARIAN DPM PC
Active
Other names
LAKE COUNTY FOOT & ANKLE LTD
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CHULENGARIAN (DPM)
(847) 249-3338
Entity
Organization
Contact information
Practice address
1200 N GREEN BAY RD, WAUKEGAN, IL 60085-2246
(847) 249-3338
(847) 249-8218
Mailing address
1200 N GREEN BAY RD, WAUKEGAN, IL 60085-2246
(847) 249-3338
(847) 249-8218
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932042
BCBS
IL
01
—
CK7567
RAILROAD MEDICARE
IL
Enumeration date
10/23/2006
Last updated
04/25/2012
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