Gennady Boldetsky

NPI 1407258510 · on the registry since 2014 · sole proprietor

Practice

Address: 1040 S Milwaukee Ave
Suite 100
Wheeling, IL 60090
Phone: (847) 366-9518
Organisation at this address: Above Care Llc
Best Aid Medical Supplies
Mcs Medical Transportation
North Suburban Injury Care
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Acupuncturist
171100000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-09-19

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