Boris Kusnetzow, MD
Boris Kusnetzow, MD is a General Practice in Chicago, Illinois. Qualified in 1976, 50 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 50
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
6642 S Ashland AveChicago, IL 60636-3022
Phone: (773) 776-3500
Fax: (773) 776-8534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036071405 (IL) |
|---|
Record details
| NPI number | 1285702357 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | November 30, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 6642 S Ashland Ave, Chicago, IL 60636-3022 |
Medicare enrollment
| Medicare specialty | GENERAL PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1976 (50 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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