| Doctor Name: | DR. MARKO J JACHTOROWYCZ |
| NPI Number: | 1073597894 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 036080243 |
| Business Practice Address: | 5747 Dempster St Suite 100 Morton Grove, IL - 600533056 |
| Business Phone Number: | 8476631030 |
| Business Fax Number: | 8476631039 |
| Mailing Address: | 5747 Dempster St, Suite 100 MORTON GROVE |
| State: | IL |
| Postal Code: | 600533056 |
| Phone Number: | 8476631030 |
| Fax Number: | 8476631039 |
| NPI Enumeration Date: | 12/05/2005 |
| NPI Last Update Date: | 11/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 036080243 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |