Search › Illinois › 2255A2300X
Alexander Kichakov, LAT
NPI 1659576247 · on the registry since 2007
Practice
- Address
- 0 S 050 Winfield Road
Suite 120
Winfield, IL 60190 - Phone
- (630) 653-4743
- Fax
- (630) 653-4912
- Organisation at this address
- Athletic And Therapeutic Institute Of Naperville, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- 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