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Contact Information

CHARLES DRUECK, M.D., S.C.
5145 N CALIFORNIA AVE
CHICAGO, IL60625-3661
 Phone: 773-989-6202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES DRUECK MD SC · (Female)

NPI # 1548281470
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2006
Last updated 08/27/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036045746
  • IL Medicaid 036045746
  • Other 020052114 RAILROAD MEDICARE
  • IL Other 01632718 BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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