NPI 1972942258

Viktor Tabatchyk, SA

Practitioner Surgical Technologist Oak Park, IL

Practice location

Address: 109 Frank Lloyd Wright Ln, Oak Park, IL 60302-2644
Phone: (312) 731-5540

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 238000161 (IL)

Other Specialist/Technologist, Other providers in Illinois →

Registry record

NPI: 1972942258
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2013
Record last updated: 19 Jun 2013

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.