| Lyugen Adult Clinic P.c. | |
|
7013 Lorel Ave Skokie IL 60077-3489 | |
| (773) 465-6533 | |
| Not Available |
| Full Name | Lyugen Adult Clinic P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7013 Lorel Ave, Skokie, Illinois |
| Authorized Official Name and Position | Svetlana Miroshnichecnko (PRESIDENT) |
| Authorized Official Contact | 7734040160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyugen Adult Clinic P.c. 7013 Lorel Ave Skokie IL 60077-3489 Ph: (773) 465-6533 | Lyugen Adult Clinic P.c. 7013 Lorel Ave Skokie IL 60077-3489 Ph: (773) 465-6533 |
| NPI Number | 1295742856 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295742856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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