Individual
DR. IGOR V KOLESNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHARM.D
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
Mailing address
2146 RUGEN RD APT B, GLENVIEW, IL 60026-5520
(847) 962-9125
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051287029
IL
207L00000X
Anesthesiology Physician
Primary
036-123253
IL
207L00000X
Anesthesiology Physician
125051239
IL
Other
Enumeration date
07/31/2008
Last updated
02/02/2024
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