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NPI Code Detail

MEDICARE: ANDREI CHURYLA M.D.

MEDICARE: ANDREI CHURYLA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician036.132928IL
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician2248-320WI
3208600000XSurgery Physician2248WI
4208600000XSurgery Physician233104MA
5208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician036132928IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215102322
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREI CHURYLA M.D.
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 800-326-2250
Fax Number :
Provider Business Practice Location Address
First Line : 2901 W KINNICKINNIC RIVER PKWY STE 507
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3660
Country : US
Telephone Number : 414-649-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2008
Last Update Date : 06/18/2026

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Directions to “ ANDREI CHURYLA M.D.” Practice Location

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