Individual
KSENIIA SOSINOVYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4839 W 47TH ST, CHICAGO, IL 60638-2039
(773) 735-2345
Mailing address
4839 W 47TH ST, CHICAGO, IL 60638-2039
(773) 735-2345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009379
IL
Other
Enumeration date
09/15/2020
Last updated
05/27/2025
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