Voronov, Gennadiy
Voronov, Gennadiy is an sole proprietor health care provider with primary practice located at 1901 W Harrison St , Chicago IL 60612-3714. He recently has 2 registered licenses in different health care specialties including Hospitals / Critical Access, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Voronov, Gennadiy can be contacted via phone (312) 864-1903.Contact Information
Primary practice address
1901 W Harrison St
Chicago IL 60612-3714
Phone: (312) 864-1903
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Critical Access | 282NC0060X | 036-104566 | Illinois |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036-104566 | Illinois |
Profile Details
| NPI number | 1124147566 |
|---|---|
| LBN Legal business name | Voronov, Gennadiy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2007 |
| Last updated | May 4th, 2021 - about 5 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.
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