Sukenik, Dmitry
Sukenik, Dmitry is an sole proprietor health care provider with primary practice located at 7447 W Talcott Ave Suite 304, Chicago IL 60631-3745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sukenik, Dmitry can be contacted via phone (773) 631-0869.Contact Information
Primary practice address
7447 W Talcott Ave Suite 304
Chicago IL 60631-3745
Phone: (773) 631-0869
Fax: (773) 631-1995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036087456 | Illinois |
Profile Details
| NPI number | 1811985443 |
|---|---|
| LBN Legal business name | Sukenik, Dmitry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Apr 9th, 2012 - about 14 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 | 1811985443 | NPPES |
| Illinois | MEDICAID | 036087456 |
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