Chyzhyk, Vadzim

Chyzhyk, Vadzim is an individual health care provider with primary practice located at 409 W Oak St , Carbondale IL 62901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chyzhyk, Vadzim can be contacted via phone (618) 529-4455.

Contact Information

Primary practice address
409 W Oak St Carbondale IL 62901
Fax: (618) 351-1287
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036.137880 Illinois

Profile Details

NPI number 1093128720
LBN Legal business name Chyzhyk, Vadzim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2014
Last updated Oct 6th, 2021 - about 5 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 1093128720 NPPES
Illinois Other 036.137880 STATE PHYSICIAN LICENSE

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