Individual
NICOLAS SEMENCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5375
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5375
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125078178
IL
Other
Enumeration date
03/09/2020
Last updated
08/13/2021
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