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Organization
MK MEDICAL GROUP LLC
Active
Organization
MK MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILENA KYOUTCHOUKOVA M.D. (OWNER)
(708) 691-1429
Entity
Organization
Contact information
Practice address
5729 W CERMAK RD, CICERO, IL 60804-2129
(708) 477-6525
Mailing address
1130 N DEARBORN ST, 704, CHICAGO, IL 60610-2756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036111568
IL
Other
Enumeration date
05/31/2010
Last updated
11/01/2011
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