Surek, Christopher L
Surek, Christopher L is an individual health care provider with primary practice located at 1321 Greenwood Ave Suite D, Deerfield IL 60015-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Surek, Christopher L can be contacted via phone (225) 354-9058.Contact Information
Primary practice address
1321 Greenwood Ave Suite D
Deerfield IL 60015-2709
Phone: (225) 354-9058
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 64873-21 | Wisconsin |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 64873-21 | Wisconsin |
Profile Details
NPI number | 1336119858 |
---|---|
LBN Legal business name | Surek, Christopher L |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2006 |
Last updated | Apr 25th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336119858 | NPPES |
Louisiana | MEDICAID | 1625965 |
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