MEDICARE: MS. HALINA KURYLOVICH RDMS, RVT, MD

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
1	2471S1302X	Sonography Radiologic Technologist
2	2471V0105X	Vascular Sonography Radiologic Technologist

General Provider Information

NPI Number	:	1669764551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HALINA KURYLOVICH RDMS, RVT, MD

Provider Business Mailing Address
First Line	:	614 E WHISPERING OAKS CT
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60074-2362
Country	:	US
Telephone Number	:	847-842-5870
Fax Number	:	847-842-5870

Provider Business Practice Location Address
First Line	:	836 S. NORTTHWEST HWY
Second Line	:	A - BACK
City	:	BARRINGTON
State	:	IL
Zip	:	60010-4622
Country	:	US
Telephone Number	:	847-842-5870
Fax Number	:	847-842-5870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2011
Last Update Date	:	05/31/2013

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