Individual
MAKSYM YAKONSKYY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
33 N DEARBORN ST STE 2400, CHICAGO, IL 60602-3109
(177) 388-0530
Mailing address
2830 BLACKTHORN RD, RIVERWOODS, IL 60015-3774
(773) 837-4524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033705
IL
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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