Individual
DR. IGOR TKACHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, MC 4028, CHICAGO, IL 60637-1447
(773) 834-9804
Mailing address
100 W CHESTNUT ST, APT 2109, CHICAGO, IL 60610-3225
(312) 640-0339
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
03611881
IL
207L00000X
Anesthesiology Physician
223196
MA
207LP3000X
Pediatric Anesthesiology Physician
036116881
IL
Other
Enumeration date
06/21/2006
Last updated
05/04/2021
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