Charnogursky, Gerald

Charnogursky, Gerald is an individual health care provider with primary practice located at 2160 S 1St Ave (9608 Roberts Road, Hickory Hills, Il. 60457), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Charnogursky, Gerald can be contacted via phone (708) 233-5333.

Contact Information

Primary practice address
2160 S 1St Ave (9608 Roberts Road, Hickory Hills, Il. 60457) Maywood IL 60153
Phone: (708) 233-5333
Fax: (708) 233-5348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 36064506 Illinois

Profile Details

NPI number 1023097102
LBN Legal business name Charnogursky, Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Feb 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023097102 NPPES
Illinois MEDICAID 36064506

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