NADIA CHERNYAVSKAYA DMD PC
Managed Care Organizations at Cicero Ave, Chicago, IL

License number
Illinois 019027771
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: DR. NADEZHDA CHERNYAVSKAYA
Title: DENTIST
Phone: (773) 679-2288
Address
Address
6439 N Cicero Ave, Chicago, IL 60712
National Provider ID: 1194964940
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NADIA CHERNYAVSKAYA DMD PC

Chicago, IL 60625

Status:
Inactive
Registration:
Sep 11, 2008
State ID:
66253678
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Nadia Chernyavskaya,5300 N Lincoln Ave 3A, Chicago, IL 60625 (Physical)

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