SearchIllinoisClinical Laboratory Director (Non-physician)

Madina Sukhanova, PHD

NPI 1629575972 · on the registry since 2018

Practice

Address
910 S Michigan Ave Apt 1513
Chicago, IL 60605
Phone
(630) 846-6501
Organisation at this address
Bloom Dental Practice Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Clinical Laboratory Director (Non-physician)
247ZC0005X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-11

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