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Individual

ANDRIY VICTOR HAVRYLYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 542-2000
Mailing address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-2069

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.145751
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036.145751
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036145751
IL
Enumeration date
06/17/2015
Last updated
03/02/2026
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