Maslovsky, Semyon
Maslovsky, Semyon is an sole proprietor health care provider with primary practice located at 500 Park Ave Ste 104, Lake Villa IL 60046-6556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Maslovsky, Semyon can be contacted via phone (847) 245-8700.Contact Information
Primary practice address
500 Park Ave Ste 104
Lake Villa IL 60046-6556
Phone: (847) 245-8700
Fax: (847) 245-8771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036077057 | Illinois |
Profile Details
| NPI number | 1508855040 |
|---|---|
| LBN Legal business name | Maslovsky, Semyon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Oct 14th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508855040 | NPPES |
| Illinois | MEDICAID | 036077057 |
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