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Individual

DR. MAXIM ALEXANDROVICH POLANSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1725 W HARRISON ST STE 264, CHICAGO, IL 60612-3844
(312) 942-2195
Mailing address
1725 W HARRISON ST STE 264, CHICAGO, IL 60612-3844
(312) 942-2195

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036159949
IL
207ND0101X
MOHS-Micrographic Surgery Physician
73235
WI

Other

Enumeration date
06/06/2015
Last updated
05/10/2024
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