Individual
DR. IGOR TKACHYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
(414) 649-5296
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
62877-20
WI
208M00000X
Hospitalist Physician
Primary
62877
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100041601
—
WI
Enumeration date
04/29/2014
Last updated
10/17/2023
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