Individual provider · Type 1 NPI
Steven Vsevolod Trakhtman, PHYSICIAN ASSISTANT
Medical Physician Assistant · Melrose Park, IL
NPI number
1831100361
Active
Practice location
675 W North Ave, Suite 606
Melrose Park, IL 60160-1634
Fax (800) 801-6284
Mailing address
8936 Niles Center Rd Unit D
Skokie, IL 60076-1847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1831100361
Steven Vsevolod Trakhtman, PHYSICIAN ASSISTANT's National Provider Identifier is 1831100361, issued on Aug 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Melrose Park, IL. The record was last updated on Jul 8, 2007.