Detelin Dyakov

NPI 1962826578 · on the registry since 2014 · sole proprietor

Practice

Address: 5145 N California Ave
Chicago, IL 60625
Phone: (773) 989-3810
Organisation at this address: Amc Anesthesia Ltd
Anthony P Merza Md P C
Swedish Covenant Health
Swedish Covenant Health
Swedish Covenant Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 232

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-02-18

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