Individual
STEVEN VSEVOLOD TRAKHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
675 W NORTH AVE, SUITE 606, MELROSE PARK, IL 60160-1634
(708) 681-7877
(800) 801-6284
Mailing address
8936 NILES CENTER RD UNIT D, SKOKIE, IL 60076-1847
(847) 606-7988
(800) 801-6284
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IL
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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