Individual
ANDREY VELIZAROV SIMEONOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1520 N DAYTON ST, CHICAGO, IL 60642-2522
(312) 380-1822
Mailing address
1520 N DAYTON ST, CHICAGO, IL 60642-2522
(312) 380-1822
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070027987
IL
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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