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Dr. Jack Robert Chulengarian, DPM
Foot & Ankle Surgery Podiatrist in Waukegan, Illinois
NPI 1083615371

Jack Robert Chulengarian is a Foot & Ankle Surgery Podiatrist based in Waukegan, IL and is specialized in Foot & Ankle Surgery. Jack Robert Chulengarian practices in Waukegan, IL and has the professional credentials of DPM. The NPI Number for Jack Robert Chulengarian is 1083615371 and holds a License No. 016002637 (Illinois).

The current practice location address for Jack Robert Chulengarian is 1200 N Green Bay Rd, Waukegan, IL and can be reached out via phone at 847-249-3338.

Location: 1200 N Green Bay Rd, Waukegan, IL, 60085-2246
person
Provider Profile Details
NPI Number
1083615371
Provider Name
Jack Robert Chulengarian
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1200 N Green Bay Rd, Waukegan, IL, 60085-2246
Phone Number
847-249-3338
Fax Number
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04932042 01 IL BCBS
480025062 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1200 N Green Bay Rd
City
State
Zip
60085-2246
Phone Number
847-249-3338
Fax Number
person
Provider Business Mailing Address Details
Address
1200 N Green Bay Rd
City
State
Zip
60085-2246
Phone Number
847-249-3338
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016002637 (Illinois)
Definition
Definition to come...
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