NPI 1083295646

Olga Iziumenko, MD

Practitioner Dermatology Physician Springfield, IL

Practice location

Address: 751 N Rutledge St STE 2300, Springfield, IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-7438
Mailing address: PO Box 19644, Springfield, IL 62794-9644

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 125079859 (IL)

Other Dermatology providers in Illinois →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1083295646
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2021
Record last updated: 4 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.