Individual
ANNA KHOMENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2427 W HADDON AVE UNIT 2, CHICAGO, IL 60622-2946
(847) 636-6119
Mailing address
2427 W HADDON AVE UNIT 2, CHICAGO, IL 60622-2946
(847) 636-6119
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125084809
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2024
Last updated
06/21/2024
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