Organization
ALEKSANDR DEKHTYAR MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR DEKHTYAR MD (PROVIDER)
(224) 805-6085
Entity
Organization
Contact information
Practice address
614 MARTIN LN, DEERFIELD, IL 60015-3633
(224) 805-6085
Mailing address
614 MARTIN LN, DEERFIELD, IL 60015-3633
(224) 805-6085
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036110249
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110249
—
IL
Enumeration date
06/20/2007
Last updated
10/16/2008
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