Jack Robert Chulengarian DPM

NPI 1083615371 - Podiatrist - 213ES0103X

NPI Details
NPI 1083615371
Gender Male
Enumeration Date 08/09/2005
Last Updated 04/25/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1200 N GREEN BAY RD
WAUKEGAN IL, 60085-2246, US
Phone (847) 249-3338
Fax
Business Location
1200 N GREEN BAY RD
WAUKEGAN IL, 60085-2246, US
Phone (847) 249-3338
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State Illinois
License Number 016002637
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According to our database, Dr. Jack Robert Chulengarian DPM NPI is 1083615371, taxonomy code is 213ES0103X and license number is 016002637, license state is located at Illinois. Jack Robert Chulengarian DPM physically located at 1200 N Green Bay Rd, Waukegan IL, 60085-2246. NPI Number Jack Robert Chulengarian DPM has the Individual type.

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1083615371 NPI number is provided on an as is basis without warranty of any kind. 1083615371 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Robert Chulengarian DPM are for informational purposes only.