Individual
DR. YEVGENY EUGENE TARASOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., DO
Contact information
Practice address
201 E STRONG ST, SUITE 7, WHEELING, IL 60090-2979
(847) 215-0530
Mailing address
129 W RAND RD, ARLINGTON HEIGHTS, IL 60004-3142
(847) 215-0530
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036139689
IL
Other
Enumeration date
03/11/2011
Last updated
08/16/2016
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