Individual
GEORGE KOVESHNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(331) 221-1000
Mailing address
305 CHANTICLEER LN, HINSDALE, IL 60521-5023
(773) 315-0935
(815) 795-2111
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
12/19/2019
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