Individual
MICHAEL KOCHANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4413 ROOSEVELT RD, SUITE 100, HILLSIDE, IL 60162-2074
(708) 449-5900
(708) 449-5901
Mailing address
4413 ROOSEVELT RD, SUITE 100, HILLSIDE, IL 60162-2074
(708) 449-5900
(708) 449-5901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634941
BCBS
IL
01
—
4167137
CIGNA
IL
Enumeration date
08/10/2006
Last updated
07/09/2007
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