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Individual

BOHDAN KONTSEVYY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RSA, FNP

Contact information

Practice address
6147 N SHERIDAN RD APT 30B, CHICAGO, IL 60660-6856
(773) 510-5063
Mailing address
6147 N SHERIDAN RD APT 30B, CHICAGO, IL 60660-6856
(773) 510-5063

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
238000087
IL
363LF0000X
Family Nurse Practitioner
Primary
209019937
IL

Other

Enumeration date
07/09/2008
Last updated
12/22/2021
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