Individual
MR. SERGEY SHIKANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, MC 6038, CHICAGO, IL 60637-1447
(773) 702-0173
(773) 702-1001
Mailing address
1709 PONTIAC TRL, ANN ARBOR, MI 48105-1722
(505) 205-0076
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036128545
IL
208800000X
Urology Physician
Primary
4301101038
MI
208800000X
Urology Physician
MD2011-0421
NM
Other
Enumeration date
03/24/2010
Last updated
01/09/2014
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