Individual
VADIM DEKHTYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
3633 W LAKE AVE STE 303, GLENVIEW, IL 60026-5803
(847) 724-1777
(847) 724-4488
Mailing address
6211 LINCOLN AVE UNIT 408, MORTON GROVE, IL 60053-2863
(847) 965-0664
(847) 724-4488
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
IL
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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