Mikhail Khodarkovskiy in Mundelein - Family Medicine
Mikhail Khodarkovskiy - NPI 1215919196
Mikhail Khodarkovskiy is a Family Medicine in Mundelein, Illinois. Mikhail Khodarkovskiy practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mikhail Khodarkovskiy is 1215919196. The last update date is 2023-08-12.
Mikhail Khodarkovskiy's current location address is 333 E Il Route 83 Ste 105, Mundelein, Illinois. You can contact this provider via phone number 8479709922 and fax number 8479709955. The mailing address for Mikhail Khodarkovskiy is 333 E Il Route 83 Ste 105, Mundelein, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mikhail Khodarkovskiy |
|---|---|
| Address | 333 E Il Route 83 Ste 105, Mundelein, Illinois |
| Phone Number | 8479709922 |
| Fax Number | 8479709955 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215919196 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2023-08-12 |
Provider Mailing Address Detail
| Address | 333 E Il Route 83 Ste 105 |
|---|---|
| City | Mundelein |
| State | Illinois (IL) |
| Post Code | 600604278 |
| Phone Number | 8479709922 |
| Fax Number | 8479709955 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 036-107538 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036-107538-4 | IL | -- |
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What is the unique identification code assigned to Mikhail Khodarkovskiy by the Centers for Medicare & Medicaid Services?
The Mikhail Khodarkovskiy has been issued the NPI (National Provider Identifier) 1215919196. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mikhail Khodarkovskiy located?
The Mikhail Khodarkovskiy is located at 333 E Il Route 83 Ste 105, Mundelein, IL 600604278.
What is Mikhail Khodarkovskiy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mikhail Khodarkovskiy is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
When was the Mikhail Khodarkovskiy's 1215919196 issued?
The Mikhail Khodarkovskiy's 1215919196 was issued on 2005-11-16.
As of what date were the Mikhail Khodarkovskiy's details last updated?
The information pertaining to the Mikhail Khodarkovskiy, including its address, specialty, and other details, was most recently updated on 2023-08-12.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY