Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dmitriy Khutoryanskiy

Individual provider Pharmacy · NPI 1912594755

Dmitriy Khutoryanskiy is a Pharmacy in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4051 N Lincoln Ave
Chicago, IL 60618-3009
Phone: (773) 871-2611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051292529 (IL)
Pharmacy Taxonomy 333600000X

Record details

NPI number1912594755
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 28, 2020
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020
Mailing address4051 N Lincoln Ave, Chicago, IL 60618-3009

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