| George Charuk, DO | |
|
2940 W 95th St, Evergreen Park, IL 60805-2408 | |
| (630) 366-0012 | |
| (404) 328-7835 |
| Full Name | George Charuk |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 36 Years |
| Location | 2940 W 95th St, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679547079 | NPI | - | NPPES |
| 1871528463 | Other | IL | GROUP PROVIDER NPI # |
| K46446 | Other | IL | MC INDIVIDUAL PROVIDER # |
| 212193 | Other | IL | MC GROUP PROVIDER # |
| 1679547079 | Other | IL | INDIVIDUAL NPI # |
| 36083237 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 36083237 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopaedic Specialists Of Northwest Indiana Pc | 5092788901 | 15 |
| Entity Name | Orthopaedic Specialists Of Northwest Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497865794 PECOS PAC ID: 5092788901 Enrollment ID: O20040818000914 |
| Mailing Address | Practice Location Address |
|---|---|
| George Charuk, DO 101 Woodland Dr, Oak Brook, IL 60523-1416 Ph: (630) 947-3912 | George Charuk, DO 2940 W 95th St, Evergreen Park, IL 60805-2408 Ph: (630) 366-0012 |
Timothy D Putnam, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-6200 | |
Christopher James Johnston, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10224 S Kedzie Ave Unit C, Evergreen Park, IL 60805 Phone: 773-941-6132 | |
Kristin Egan, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10124 S Kedzie Ave, Evergreen Park, IL 60805 Phone: 708-636-9200 |