Individual
POLINA ZAYTSEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 763-6947
Mailing address
PO BOX 5966, CAROL STREAM, IL 60197-5966
(877) 861-9294
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036072479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360724792
—
IL
01
—
220033630
RAILROAD MEDICARE
IL
Enumeration date
07/04/2006
Last updated
08/31/2011
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