Individual
VICTOR E NUTENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4860 W OAKTON STR, OAKTON HEALTH CENTER, SKOKIE, IL 60077-2953
(847) 329-0470
(847) 329-0472
Mailing address
4860 W OAKTON STR, OAKTON HEALTH CENTER, SKOKIE, IL 60077
(847) 329-0470
(847) 329-0472
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
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