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YEKATERINA POLYATSKAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
28381 DAVIS PKWY STE 700, WARRENVILLE, IL 60555-3033
(630) 348-3000
(630) 836-0565
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-2000

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036150999
IL
208200000X
Plastic Surgery Physician
61073
CT
208600000X
Surgery Physician
61073
CT
390200000X
Student in an Organized Health Care Education/Training Program
4301091958
MI

Other

Enumeration date
06/06/2008
Last updated
10/11/2019
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