A PODOLSKIY MD SC

NPI 1578634168 Active Family Medicine

Quick Facts

NPI Number

1578634168

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2006-11-13

Last Updated (NPPES)

2013-05-14

Primary Specialty / Taxonomy

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

Practice Address

755 S MILWAUKEE AVE
SUITE 164
LIBERTYVILLE, IL 600483253

Phone: 847-918-0430

Mailing Address

PO BOX 5979
BUFFALO GROVE, IL 600895979

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