Individual
DR. GENNADIY ELIKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 W DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-1680
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-127118
IL
207R00000X
Internal Medicine Physician
125-055307
IL
Other
Enumeration date
08/04/2008
Last updated
04/03/2025
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