BORIS KUSNETZOW

CHICAGO, IL
NPI1285702357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036071405)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
-- BORIS KUSNETZOW M.D.
6642 S ASHLAND AVE
CHICAGO, IL 60636-3022
Phone number: 773-776-3500
Mailing Address
-- BORIS KUSNETZOW M.D.
6642 S ASHLAND AVE
CHICAGO, IL 60636-3022
Phone number: 773-776-3500