NICOLAS SEMENCHUK

OAK LAWN, IL
NPI1871128025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  125078178)
Enumeration Date2020-03-09
Last Update Date2021-08-13
Business Address
NICOLAS SEMENCHUK
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-5375
Mailing Address
NICOLAS SEMENCHUK
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-5375