Individual
POJ LYSOUVAKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 E 55TH ST, CHICAGO, IL 60615
(773) 702-0660
Mailing address
800 E 55TH ST, CHICAGO, IL 60615-4906
(773) 702-0660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036098561
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
036098561
IL
Other
Enumeration date
12/20/2006
Last updated
10/11/2022
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