Organization
KROCZEK SURGICAL ASSOCIATES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MARYNIUK (BILLING MANAGER)
(847) 770-6043
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 221, CHICAGO, IL 60631-3745
(773) 763-1234
Mailing address
7447 W TALCOTT AVE, SUITE 221, CHICAGO, IL 60631-3745
(773) 763-1234
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-074391
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074391
—
IL
Enumeration date
07/16/2012
Last updated
07/16/2012
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