Individual
DR. ALEKSANDR KOMAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2618 RIDGELAND AVE, #1, BERWYN, IL 60402-5184
(708) 788-5253
(708) 788-3618
Mailing address
1360 N LAKE SHORE DR, #708, CHICAGO, IL 60610-8442
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005478
IL
Other
Enumeration date
01/20/2012
Last updated
12/05/2013
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