Organization
NATALIA ANIKIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIA ANIKIN M.D. (PRESIDENT)
(312) 787-4916
Entity
Organization
Contact information
Practice address
4646 N MARINE DR, B 125, CHICAGO, IL 60640-5759
(773) 572-0032
(773) 572-0029
Mailing address
33 W ONTARIO ST APT 36B, CHICAGO, IL 60654-7771
(312) 787-4916
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-113263
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113263
—
IL
Enumeration date
10/16/2006
Last updated
05/14/2010
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