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Contact Information

BORYS SUMYK, M.D., S.C.
1225 WEST LAKE STREET
WESTLAKE HOSPITAL
MELROSE PARK, IL60160
 Phone: 708-452-6539
 Fax: 708-452-2158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BORYS SUMYK, M.D., S.C.

NPI # 1851318703
LBN Legal business name BORYS SUMYK, M.D., S.C.
Authorized official BORYS SUMYK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2006
Last updated 04/09/2009 - About 17 years ago
Identifiers
IL License # 036065996
IL Medicaid 036065996
Other 110018587 RAILROAD MEDICARE
IL Other 01617523 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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