Charuk, George

Charuk, George is an individual health care provider with primary practice located at 2940 W 95Th St , Evergreen Park IL 60805-2408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Charuk, George can be contacted via phone (630) 366-0012.

Contact Information

Primary practice address
2940 W 95Th St Evergreen Park IL 60805-2408
Phone: (630) 366-0012
Fax: (404) 328-7835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 36083237 Illinois

Profile Details

NPI number 1679547079
LBN Legal business name Charuk, George
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Mar 19th, 2021 - about 4 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 1679547079 NPPES
Illinois MEDICAID 36083237
Illinois Other 1679547079
Illinois Other 212193
Illinois Other K46446
Illinois Other 1871528463

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