MEDICARE: ANDREW KUCHARSKI PH.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
1	170100000X	Ph.D. Medical Genetics

General Provider Information

NPI Number	:	1760311104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW KUCHARSKI PH.D.

Provider Business Mailing Address
First Line	:	635 N DEARBORN ST APT 2503
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-6745
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	635 N DEARBORN ST APT 2503
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-6745
Country	:	US
Telephone Number	:	312-919-4145
Fax Number	:	312-919-4145

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

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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