Individual
PAUL VENARCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN BSN
Contact information
Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3754
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041422196
IL
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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