Individual
GEORGE CHARUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2940 W 95TH ST, EVERGREEN PARK, IL 60805-2408
(630) 366-0012
(404) 328-7835
Mailing address
101 WOODLAND DR, OAK BROOK, IL 60523-1416
(630) 947-3912
(404) 328-7835
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
36083237
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679547079
INDIVIDUAL NPI #
IL
01
—
1871528463
GROUP PROVIDER NPI #
IL
01
—
212193
MC GROUP PROVIDER #
IL
05
—
36083237
—
IL
01
—
K46446
MC INDIVIDUAL PROVIDER #
IL
Enumeration date
02/14/2006
Last updated
02/13/2025
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