Individual
DR. OREST RYWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1423 CHICAGO RD, CHICAGO HEIGHTS, IL 60411-3400
(708) 756-1000
Mailing address
2512 N GREENVIEW AVE, CHICAGO, IL 60614-2015
(773) 472-7137
(773) 472-7137
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-058956
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058956
—
IL
01
—
4622394
BLUE CROSS
IL
Enumeration date
06/16/2006
Last updated
04/16/2009
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