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Individual

ALBERT PECHEREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6438 N MILWAUKEE AVE, CHICAGO, IL 60631
(773) 763-9305
(773) 763-9368
Mailing address
6438 N MILWAUKEE AVE, CHICAGO, IL 60631
(773) 763-9305
(773) 763-9368

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39470
WI
207Q00000X
Family Medicine Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001628251
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/05/2007
Last updated
07/08/2007
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