Organization
LYUGEN ADULT CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SVETLANA MIROSHNICHECNKO M.D. (PRESIDENT)
(773) 404-0160
Entity
Organization
Contact information
Practice address
7013 LOREL AVE, SKOKIE, IL 60077-3489
(773) 465-6533
Mailing address
7013 LOREL AVE, SKOKIE, IL 60077-3489
(773) 465-6533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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