Gorodetsky, Alexander

Gorodetsky, Alexander is an individual health care provider with primary practice located at 550 W Webster Ave , Chicago IL 60614-3965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Gorodetsky, Alexander can be contacted via phone (773) 883-3659.

Contact Information

Primary practice address
550 W Webster Ave Chicago IL 60614-3965
Phone: (773) 883-3659
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X Illinois

Profile Details

NPI number 1073541108
LBN Legal business name Gorodetsky, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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