Dr. Gennadiy Elikman, MD
Internal Medicine in Park Ridge, IL. Individual provider (NPI-1).
NPI number1508022005
StatusActive
Last updated in NPPESApr 3, 2025
Details
- NPI
- 1508022005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gennadiy Elikman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2008
- Certification date
- Apr 3, 2025
- Last updated
- Apr 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036-127118 | IL | Yes |
| 207R00000X | Internal Medicine | 125-055307 | IL |
Practice location
1775 W Dempster StPark Ridge, IL 60068-1143
Phone 847-723-1680
Mailing address
29373 Network PlChicago, IL 60673-1293
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