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1720161656
LARISSA BERESTENKO
NORTHBROOK, IL
NPI
1720161656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036101565)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
-- LARISSA BERESTENKO MD
2760 WILSHIRE LN
NORTHBROOK, IL 60062-2631
Phone number: 847-809-2740
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Mailing Address
-- LARISSA BERESTENKO MD
2760 WILSHIRE LN
NORTHBROOK, IL 60062-2631
Phone number: 847-809-2740
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