Individual
EUGENE A POMERANETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 PARK AVE, STE 104, LAKE VILLA, IL 60046-6556
(847) 245-8700
(847) 245-8771
Mailing address
500 PARK AVE, STE 104, LAKE VILLA, IL 60046-6556
(847) 245-8700
(847) 245-8771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036109333
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109333
—
IL
Enumeration date
09/22/2005
Last updated
10/14/2008
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