Individual
OLGA S VINOKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-2696
(708) 783-3164
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-2696
(708) 783-3164
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-111852
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036-111852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111852
—
IL
01
—
P00455858
MEDICARE RAILROAD
IL
Enumeration date
04/20/2007
Last updated
05/04/2021
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