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SERGUEI V KISHKURNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4440 W 95TH ST # 250N, OAK LAWN, IL 60453-2600
(708) 684-5722
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01067835A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
01067835A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-125524
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
244975
NY

Other

Enumeration date
07/21/2009
Last updated
07/03/2025
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