Provider Demographics
NPI:1700056595
Name:EMIL TOTONCHI, M.D., F.R.C.S., S.C.
Entity Type:Organization
Organization Name:EMIL TOTONCHI, M.D., F.R.C.S., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UROLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:EMIL
Authorized Official - Middle Name:F
Authorized Official - Last Name:TOTONCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-944-2848
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036057976208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3160015073OtherBLUE CROSS BLUE SHIELD
IL691800Medicare PIN