Individual
ELAN M VOLCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 W DIVERSEY PKWY RM 300, CHICAGO, IL 60614-1454
(773) 248-4150
Mailing address
1853 W POLK ST, CHICAGO, IL 60612-4355
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125.078623
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2022
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