Individual
VIKTOR TABATCHYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
S.A.
Contact information
Practice address
109 FRANK LLOYD WRIGHT LN, OAK PARK, IL 60302-2644
(312) 731-5540
Mailing address
109 FRANK LLOYD WRIGHT LN, OAK PARK, IL 60302-2644
(312) 731-5540
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
238000161
IL
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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