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Contact Information

MARINA A KUZNETSOVA, MD
100 PROVENA WAY STE 103
BOURBONNAIS, IL60914-4797
 Phone: 773-564-5070
 Fax: 773-564-5071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for MARINA A KUZNETSOVA · (Female)

NPI # 1265545271
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2006
Last updated 09/11/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036090595
  • IL Medicaid 036090575
  • IL Other 01632270 BLUE CROSS BLUE SHIELD IL
Hospital affiliation(s)
  • LOUIS A WEISS MEMORIAL HOSPITAL - (Acute Care)
    4646 N MARINE DRIVE
    CHICAGO, IL 60640
  • RHC ST FRANCIS HOSPITAL - (Acute Care)
    355 RIDGE AVE
    EVANSTON, IL 60202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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