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Boris Kusnetzow, M.D
NPI 1285702357 · on the registry since 2006 · sole proprietor
Practice
- Address
- 6642 S Ashland Ave
Chicago, IL 60636 - Phone
- (773) 776-3500
- Fax
- (773) 776-8534
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois