Yevgeny Odessky Mdsc

NPI 1336329580 - Clinic/Center - 261Q00000X

NPI Details
NPI 1336329580
Enumeration Date 11/05/2007
Last Updated 12/11/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name YEVGENY YEVGENY
Position PRESIDENT
Phone (847) 329-0470
Fax (847) 329-0472
Practice Location
4860 OAKTON ST
SKOKIE IL, 60077-2953, US
Phone (847) 329-0470
Fax (847) 329-0472
Business Location
4860 OAKTON ST
SKOKIE IL, 60077-2953, US
Phone (847) 329-0470
Fax (847) 329-0472
Toxanomy
Taxonomy Code 261Q00000X
License State Illinois
License Number 036089618
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According to our database, Yevgeny Odessky Mdsc NPI is 1336329580, taxonomy code is 261Q00000X and license number is 036089618, license state is located at Illinois. Yevgeny Odessky Mdsc physically located at 4860 Oakton St, Skokie IL, 60077-2953. NPI Number 1033115704 has the healthcare provider type.

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1336329580 NPI number is provided on an as is basis without warranty of any kind. 1336329580 is maintained by the National Plan & Provider Enumeration System. The contents of Yevgeny Odessky Mdsc are for informational purposes only.