Organization
ALEXANDRA ILKIW AND ANDREW ILKIW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA ILKIW M.D. (OWNER)
(773) 631-6082
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, CHICAGO, IL 60631-3745
(773) 631-6082
Mailing address
7447 W TALCOTT AVE, CHICAGO, IL 60631-3745
(773) 631-6082
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036042994
IL
207Y00000X
Otolaryngology Physician
036061714
IL
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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