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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, M.D., S.C.

NPI Number 1548281470
LBN Legal business name CHARLES DRUECK, M.D., S.C.
Authorized official CHARLES DRUECK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2006
Last updated 08/27/2009 - About 17 years ago
Identifiers
IL License # 036045746
IL Medicaid 036045746
Other 020052114 RAILROAD MEDICARE
IL Other 01632718 BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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