Fedirko, Bohdan

Fedirko, Bohdan is an individual health care provider with primary practice located at 5255 S Cicero Ave , Chicago IL 60632-4915. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Fedirko, Bohdan can be contacted via phone (773) 585-7505.

Contact Information

Primary practice address
5255 S Cicero Ave Chicago IL 60632-4915
Phone: (773) 585-7505
Fax: (773) 585-7507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 036098499 Illinois

Profile Details

NPI number 1033163563
LBN Legal business name Fedirko, Bohdan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Dec 20th, 2016 - about 9 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 1033163563 NPPES
Illinois MEDICAID 036098499

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