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Individual

DR. JUSTIN M KARUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1725 W HARRISON ST, CHICAGO, IL 60612-3841
(312) 942-6642
(312) 942-6730
Mailing address
1725 W HARRISON ST, CHICAGO, IL 60612-3841

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OT012639
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036137924
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036137924
STATE LICENSE
IL
Enumeration date
06/15/2010
Last updated
09/03/2024
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