Organization
NADIA CHERNYAVSKAYA DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADEZHDA CHERNYAVSKAYA (DENTIST)
(773) 679-2288
Entity
Organization
Contact information
Practice address
6439 N CICERO AVE, LINCOLNWOOD, IL 60712-3407
(847) 679-9122
Mailing address
6439 N CICERO AVE, LINCOLNWOOD, IL 60712-3407
(847) 679-9122
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
019027771
IL
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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