Individual
ELENA VLADIMIROVNA MEDYANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIANS ASSISTAN
Contact information
Practice address
22285 N PEPPER RD STE 201, LAKE BARRINGTON, IL 60010-2540
(847) 382-5080
(847) 382-0923
Mailing address
22285 N PEPPER RD STE 201, LAKE BARRINGTON, IL 60010-2540
(847) 382-5080
(847) 382-0923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007121
IL
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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