Individual
ALEKSANDER TARTAKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(224) 654-0000
Mailing address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(224) 654-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.156498
IL
207R00000X
Internal Medicine Physician
2018018663
MO
208M00000X
Hospitalist Physician
036156498
IL
Other
Enumeration date
06/24/2018
Last updated
07/09/2021
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