Provider Demographics
NPI:1891716668
Name:TOTONCHI, EMIL (MD)
Entity Type:Individual
Prefix:
First Name:EMIL
Middle Name:
Last Name:TOTONCHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 N CLARK ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-3218
Mailing Address - Country:US
Mailing Address - Phone:312-944-2848
Mailing Address - Fax:312-944-8838
Practice Address - Street 1:860 N CLARK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-3218
Practice Address - Country:US
Practice Address - Phone:312-944-2848
Practice Address - Fax:312-944-8838
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036057976208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL340000551OtherRAIL ROAD MEDICARE
IL036057976Medicaid
ILK51426Medicare PIN