PAVEL KROTENKOV

CHICAGO, IL
NPI1205209772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125066090)
Enumeration Date2015-11-05
Last Update Date2015-11-05
Business Address
-- PAVEL KROTENKOV M.D., Ph.D.
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
Mailing Address
-- PAVEL KROTENKOV M.D., Ph.D.
2136 W BOWLER ST
CHICAGO, IL 60612-4202
Phone number: 312-320-1555