Derrick Anthony Mackavich D.O.

NPI 1043326317 - Anesthesiology - 207L00000X

NPI Details
NPI 1043326317
Gender Male
Enumeration Date 08/21/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2320 E 93RD ST
ADVOCATE TRINITY HOSPITAL
CHICAGO IL, 60617-3983, US
Phone (773) 967-2000
Fax (773) 967-2000
Business Location
1435 W HENDERSON ST # 3
CHICAGO IL, 60657-2103, US
Phone (773) 327-5058
Fax (773) 327-5058
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Derrick Anthony Mackavich D.O. NPI is 1043326317, taxonomy code is 207L00000X Derrick Anthony Mackavich D.O. physically located at 2320 E 93rd St, Chicago IL, 60617-3983. NPI Number Derrick Anthony Mackavich D.O. has the Individual type.

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1043326317 NPI number is provided on an as is basis without warranty of any kind. 1043326317 is maintained by the National Plan & Provider Enumeration System. The contents of Derrick Anthony Mackavich D.O. are for informational purposes only.