person
Dr. Evgenii Antonov, MD
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1346902053

Evgenii Antonov is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Evgenii Antonov practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Evgenii Antonov is 1346902053 and holds a License No. 125079122 (Illinois).

The current practice location address for Evgenii Antonov is 2900 N Lake Shore Dr, Chicago, IL and can be reached out via phone at 773-665-3000.

Location: 2900 N Lake Shore Dr, Chicago, IL, 60657-5640
person
Provider Profile Details
NPI Number
1346902053
Provider Name
Evgenii Antonov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2900 N Lake Shore Dr, Chicago, IL, 60657-5640
Phone Number
773-665-3000
Fax Number
Provider Enumeration Date
10/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2900 N Lake Shore Dr
City
State
Zip
60657-5640
Phone Number
773-665-3000
Fax Number
person
Provider Business Mailing Address Details
Address
2900 N Lake Shore Dr
City
State
Zip
60657-5640
Phone Number
773-665-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
125079122 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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