Individual
MR. IOURI MELNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2323 W CHICAGO AVE, CHICAGO, IL 60622-4723
(773) 276-8600
(773) 276-8601
Mailing address
2323 W CHICAGO AVE, CHICAGO, IL 60622-4723
(773) 276-8600
(773) 276-8601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036094506
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632565
BCBS ILLINOIS
IL
05
—
036094506
—
IL
Enumeration date
11/30/2005
Last updated
08/25/2016
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