Individual
ADDISON JAMES KORZUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST, STE 20-250, CHICAGO, IL 60611-5975
(312) 695-8143
Mailing address
680 N LAKE SHORE DR, CHICAGO, IL 60611-4546
(312) 695-9797
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005938
IL
Other
Enumeration date
10/21/2010
Last updated
04/13/2017
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