Korchik, Robert J

Korchik, Robert J is an sole proprietor health care provider with primary practice located at 220 S Park Ave , Herrin IL 62948-3612. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Korchik, Robert J can be contacted via phone (618) 942-8822.

Contact Information

Primary practice address
220 S Park Ave Herrin IL 62948-3612
Phone: (618) 942-8822
Fax: (618) 942-4477
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1043318058
LBN Legal business name Korchik, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1043318058 NPPES
Illinois Other 039386 HEALTH ALLIANCE
Illinois Other 394357 HEALTH ALLIANCE
Illinois MEDICAID 0360640852 HEALTH ALLIANCE

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