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Contact Information

ALEXANDER KICHAKOV, LAT
0 S 050 WINFIELD ROAD
SUITE 120
WINFIELD, IL60190
 Phone: 630-653-4743
 Fax: 630-653-4912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for ALEXANDER KICHAKOV · (Male)

NPI # 1659576247
Status Active
Credentials LAT
Entity Individual
Enumeration date 06/15/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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