Individual
KIRILL ZHADOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7900 N MILWAUKEE AVE, SUITE 2-24, NILES, IL 60714-3159
(847) 825-0800
(847) 825-0803
Mailing address
PO BOX 2056, NORTHBROOK, IL 60065-2056
(847) 858-7367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036106200
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036-106200
IL
Other
Enumeration date
02/17/2006
Last updated
01/06/2021
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