Jachtorowycz, Marko J

Jachtorowycz, Marko J is an individual health care provider with primary practice located at 5747 Dempster St Suite 100, Morton Grove IL 60053-3056. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Jachtorowycz, Marko J can be contacted via phone (847) 663-1030.

Contact Information

Primary practice address
5747 Dempster St Suite 100 Morton Grove IL 60053-3056
Phone: (847) 663-1030
Fax: (847) 663-1039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 036080243 Illinois
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 036080243 Illinois

Profile Details

NPI number 1073597894
LBN Legal business name Jachtorowycz, Marko J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Nov 15th, 2013 - 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 1073597894 NPPES
Illinois MEDICAID 036080243

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