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Provider Information for 1871882035



DR. CHERYL-LYNN MARIE BUGAILISKIS MD

Gender: FEMALE

Individual NPI: 1871882035

Calendar Last Updated: 2018-06-16

Details

Name Value
NPI 1871882035
Enumeration Date 2011-03-28
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 116 E BALBOA BLVD APT A
NEWPORT BEACH, CA 92661-1180
United States

Phone: 847-840-1784 | Fax:
View Map External Link
Primary Practice Address 116 E BALBOA BLVD APT A
NEWPORT BEACH, CA 92661-1180
United States

Phone: 847-840-1784 | Fax:
View Map External Link
Secondary Practice Address 1740 W TAYLOR ST
CHICAGO, IL 60612-7232
United States

Phone: 866-600-2273 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
No 390200000X - Student in an Organized Health Care Education/Training Program