Search › Illinois › 111NR0400X
Mariah Tkachenko, LMT
NPI 1710363320 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4956 W Irving Park Rd
Chicago, IL 60641 - Phone
- (773) 725-5835
- Organisation at this address
- J. P. Yoseph D.D.S. P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 111NR0400X
111NR0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-05
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