Chulengarian, Jack Robert

Chulengarian, Jack Robert is an individual health care provider with primary practice located at 1200 N Green Bay Rd , Waukegan IL 60085-2246. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Chulengarian, Jack Robert can be contacted via phone (847) 249-3338.

Contact Information

Primary practice address
1200 N Green Bay Rd Waukegan IL 60085-2246
Phone: (847) 249-3338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016002637 Illinois

Profile Details

NPI number 1083615371
LBN Legal business name Chulengarian, Jack Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Apr 25th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083615371 NPPES
Illinois Other 04932042 BCBS
Illinois Other 480025062 BCBS

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