Individual
ALEKSANDR DEKHTYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 W HIGGINS RD, SUITE 815, HOFFMAN ESTATES, IL 60169-7220
(224) 489-3888
(847) 728-2101
Mailing address
614 MARTIN LN, DEERFIELD, IL 60015-3633
(224) 489-3888
(847) 728-2101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036110249
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100249
—
IL
Enumeration date
07/28/2005
Last updated
06/13/2013
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