Individual
NAZARIY MATIYTSIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
646 ASH LN, WHEELING, IL 60090-5302
(773) 592-8473
Mailing address
646 ASH LN, WHEELING, IL 60090-5302
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000758
IL
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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