Individual
VICTOR E NUTENKO
Active
Individual
VICTOR E NUTENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036087312
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087312
—
IL
01
—
211775
MC
—
01
—
21621435
BLUE CROSS
IL
Enumeration date
10/26/2006
Last updated
12/09/2009
Update your record
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