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Individual

DR. CHRIS KOLYVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1890 SILVER CROSS BLVD STE 240, NEW LENOX, IL 60451-9528
(815) 740-1900
(815) 725-2413
Mailing address
1860 PAYSPHERE CIR STE 140, CHICAGO, IL 60674-0018
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036079120
IL
207RI0011X
Interventional Cardiology Physician
036079120
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036079120
IL
Enumeration date
05/05/2006
Last updated
02/02/2021
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