Individual
ALEKSANDR VERNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
9777 N GREENWOOD AVE, NILES, IL 60714-1002
(847) 967-7000
Mailing address
1550 SANDPEBBLE DR APT 212, WHEELING, IL 60090-5921
(847) 361-1216
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005257
IL
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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