Individual
HENRY GENNADIY LIOKUMOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 W HARRISON ST FL 5, CHICAGO, IL 60612-3714
(312) 864-1905
Mailing address
1901 W HARRISON ST FL 5, CHICAGO, IL 60612-3714
(312) 864-1905
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
03/29/2021
Last updated
03/22/2024
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