Individual
IVAN BOGDANOVYCH KUKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 ILLINI DR, SILVIS, IL 61282-1804
(309) 281-4000
Mailing address
801 ILLINI DR, SILVIS, IL 61282-1804
(309) 281-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD-39811
IA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036124664
IL
Other
Enumeration date
05/28/2007
Last updated
05/02/2024
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