Individual
DR. MAX JOHN PITLOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2835 N SHEFFIELD AVE, SUITE 104, CHICAGO, IL 60657-5081
(773) 472-3704
Mailing address
2835 N SHEFFIELD AVE, SUITE 104, CHICAGO, IL 60657-5081
(773) 472-3704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036107071
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107071
—
IL
Enumeration date
02/02/2006
Last updated
09/21/2011
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