Individual
DR. GENNADIY VORONOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-1903
Mailing address
725 HORATIO BLVD, BUFFALO GROVE, IL 60089-6416
(847) 459-9422
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-104566
IL
282NC0060X
Critical Access Hospital
036-104566
IL
Other
Enumeration date
03/28/2007
Last updated
05/04/2021
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