Larissa Berestenko, MD
Family Medicine in Northbrook, IL. Individual provider (NPI-1).
NPI number1720161656
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720161656
- Entity type
- Individual (NPI-1)
- Name
- Larissa Berestenko
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036101565 | IL | Yes |
Practice location
2760 Wilshire LnNorthbrook, IL 60062-2631
Phone 847-809-2740 · Fax 847-715-4894
Mailing address
2760 Wilshire LnNorthbrook, IL 60062-2631
Phone 847-809-2740 · Fax 847-715-4894
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