Organization
GEORGE R SOSENKO MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE SOSENKO MD (SOLE PROPRIETOR)
(630) 725-9700
Entity
Organization
Contact information
Practice address
3825 HIGHLAND AVE, SUITE 2A, DOWNERS GROVE, IL 60515-1552
(630) 725-9700
(630) 725-9703
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31600099
BCBS PROVIDER ID
IL
01
—
631009
ADVOCATE HLTH PARTNERS ID
IL
01
—
75770
ADVOCATE HLTH PARTNERS
IL
01
—
DE1854
RAILROAD MEDICARE
IL
Enumeration date
08/31/2006
Last updated
04/20/2008
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