Svetlana G Miroshnichenko
LYUGEN ADULT CLINIC P.C.


Address: 7122 N Clark St, Chicago, IL 60626-2408
Phone: 7734656533

Svetlana G Miroshnichenko (NPI# 1346231651, PAC ID# 6002800802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1346231651
PAC ID by PECOS 6002800802
Professional Enrollment ID I20040414000097
Full Name Svetlana G Miroshnichenko
Organization Legal Name LYUGEN ADULT CLINIC P.C.
Address 7122 N Clark St
Chicago
IL 60626-2408
Phone Number 7734656533
Gender F
Credential MD
Graduation Year 1986
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 1850363219
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
7122 N Clark St, Chicago, IL 60626-2408 7734656533 LYUGEN ADULT CLINIC P.C.

Organization Information

Organization Legal Name LYUGEN ADULT CLINIC P.C.
Physicians 1

Office Location

Street Address 7122 N CLARK ST
City CHICAGO
State IL
Zip 60626-2408

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Competitor

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City CHICAGO
Zip Code 60626
Specialty INTERNAL MEDICINE
City + Specialty CHICAGO + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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