A. PODOLSKIY, MD, SC

NPI 1386682714 Active Family Medicine

Quick Facts

NPI Number

1386682714

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2006-06-04

Last Updated (NPPES)

2020-08-22

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`
License	036111753 IL

Practice Address

755 S MILWAUKEE AVE
SUITE 164
LIBERTYVILLE, IL 600483253

Phone: 847-915-1500

Fax: 847-915-7580

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