NPI 1033163563

Bohdan Fedirko, MD

Practitioner Legal Medicine Chicago, IL

Practice location

Address: 5255 S Cicero Ave, Chicago, IL 60632-4915
Phone: (773) 585-7505
Fax: (773) 585-7507
Mailing address: PO Box 388309, Chicago, IL 60638-8309

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 036098499 (IL)

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Registry record

NPI: 1033163563
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 May 2006
Record last updated: 20 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.