Individual
EVGENI MIRKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 W DEVON AVE, CHICAGO, IL 60660-1313
(773) 250-5222
(773) 866-8018
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.167448
IL
Other
Enumeration date
06/15/2021
Last updated
06/10/2025
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