Individual
DR. LARYSA MYKYTIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5711 N LINCOLN AVE, CHICAGO, IL 60659-4704
(773) 728-4784
(773) 728-4759
Mailing address
2204 W WALTON ST, CHICAGO, IL 60622-4815
(773) 276-9391
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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