Aleksandr Podolskiy in Libertyville - Family Medicine

Aleksandr Podolskiy - NPI 1619922135

Aleksandr Podolskiy is a Family Medicine in Libertyville, Illinois. Aleksandr Podolskiy practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Aleksandr Podolskiy is 1619922135. The last update date is 2021-12-13.

Aleksandr Podolskiy's current location address is 755 S Milwaukee Ave, Libertyville, Illinois. You can contact this provider via phone number 8479180430 and fax number 8479187850. The mailing address for Aleksandr Podolskiy is 755 S Milwaukee Ave, Libertyville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Aleksandr Podolskiy
Address 755 S Milwaukee Ave, Libertyville, Illinois
Phone Number 8479180430
Fax Number 8479187850
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619922135
Provider Enumeration Date 2006-05-23
Last Updated Date 2021-12-13

Provider Mailing Address Detail

Address 755 S Milwaukee Ave
City Libertyville
State Illinois (IL)
Post Code 60048
Phone Number 8479180430
Fax Number 8479187850

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36111753
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36111753 IL --

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FAQs about Aleksandr Podolskiy

What is the unique 10-digit identifier code issued to Aleksandr Podolskiy by the Centers for Medicare & Medicaid Services?

The Aleksandr Podolskiy has been assigned the NPI (National Provider Identifier) 1619922135 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Aleksandr Podolskiy?

The Aleksandr Podolskiy is physically situated at 755 S Milwaukee Ave, in the city of Libertyville, state of IL, with the postal code 60048.

What is Aleksandr Podolskiy's specialized field of practice, and what is the corresponding taxonomy classification code?

The Aleksandr Podolskiy's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Aleksandr Podolskiy receive the assignment of its 1619922135 from the Centers for Medicare & Medicaid Services?

The Aleksandr Podolskiy was issued its 1619922135 by the Centers for Medicare & Medicaid Services on 2006-05-23.

When was the information regarding Aleksandr Podolskiy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Aleksandr Podolskiy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-13.

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