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1225659139
IGOR GOSTYUZHEV
MAYWOOD, IL
NPI
1225659139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MO 2020018350)
Enumeration Date
2020-05-01
Last Update Date
2024-08-08
Business Address
Mr. IGOR GOSTYUZHEV MD
LOYOLA UNIVERSITY MEDICAL CENTER 2160 S 1ST AVE BUILDING 103 ROOM 3107
MAYWOOD, IL 60153
Phone number: 708-216-9169
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Mailing Address
Mr. IGOR GOSTYUZHEV MD
LOYOLA UNIVERSITY MEDICAL CENTER 2160 S 1ST AVE BUILDING 103 ROOM 3107
MAYWOOD, IL 60153
Phone number: 708-216-9169
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