Individual
ILONA A KICHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
555 W COURT ST STE 412, KANKAKEE, IL 60901-3675
(815) 928-6131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036143477
IL
Other
Enumeration date
05/15/2012
Last updated
08/30/2021
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