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NPI Code Detail

MEDICARE: DR. ALLA CHIKHMAN M.D.

MEDICARE: DR. ALLA CHIKHMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036103785IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114063120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLA CHIKHMAN M.D.
Provider Business Mailing Address
First Line : 3109 W ARMITAGE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-3818
Country : US
Telephone Number : 773-394-5260
Fax Number : 773-394-5260
Provider Business Practice Location Address
First Line : 4108 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2007
Country : US
Telephone Number : 773-929-4544
Fax Number : 773-929-4544
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 04/16/2013

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Directions to “ DR. ALLA CHIKHMAN M.D.” Practice Location

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