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General NPI Number Information
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NPI Number | 1215102322
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Entity Type | Individual
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Provider Name | ANDREI CHURYLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 2901 W KINNICKINNIC RIVER PKWY STE 507
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City | MILWAUKEE
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State | WI
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Zip | 53215-3660
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Country | US
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Telephone | 414-649-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 735044
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City | CHICAGO
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State | IL
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Zip | 60673-5044
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Country | US
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Telephone | 800-326-2250
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 2248-320
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 036132928
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036.132928
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 233104
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License Number State | MA
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