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NPI Code Detail

MEDICARE: DANIEL HRYHORCZUK

MEDICARE: DANIEL HRYHORCZUK
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
12083P0500XPreventive Medicine/Occupational Environmental Medicine PhysicianIL

General Provider Information

NPI Number : 1740393248
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL HRYHORCZUK
Provider Business Mailing Address
First Line : 809 S MARSHFIELD AVE
Second Line : 9TH FLOOR (M/C 732)
City : CHICAGO
State : IL
Zip : 60612-4305
Country : US
Telephone Number : 312-996-7699
Fax Number : 312-996-1001
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 866-600-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 07/08/2007

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