Individual
DR. ERVIN KOCJANCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 S WOOD ST, SUITE 515 CSN, M/C 955, CHICAGO, IL 60612-4325
(312) 996-1667
(312) 413-0495
Mailing address
840 S WOOD ST, SUITE 515 CSN, M/C 955, CHICAGO, IL 60612-4325
(312) 996-1667
(312) 413-0495
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
113000054
IL
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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