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Individual

ILYA Z KREYNIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1335 N ASTOR ST, APT 15A, CHICAGO, IL 60610-2152
(212) 517-9356
Mailing address
1335 N ASTOR ST, APT 15A, CHICAGO, IL 60610-2152
(212) 517-9356

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
155473
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00845698
NY
Enumeration date
09/07/2005
Last updated
03/17/2014
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