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Individual

DR. DMITRY NOVOSELETSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1110 W SCHICK RD, BARTLETT, IL 60103-3007
(630) 233-7029
(630) 372-0852
Mailing address
1110 W SCHICK RD, BARTLETT, IL 60103-3007
(630) 233-7029
(630) 483-0852

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01062695A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200858900
IN
Enumeration date
07/20/2006
Last updated
01/25/2013
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