Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mikhail Khodarkovskiy, MD

Individual provider Family Medicine Physician · NPI 1215919196

Dr. Mikhail Khodarkovskiy, MD is a Family Practice in Mundelein, Illinois. Qualified in 1984, 42 years ago. Practices with Cordial Medical Center, SC, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
42
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

333 E Il Route 83 Ste 105
Mundelein, IL 60060-4278
Phone: (847) 970-9922
Fax: (847) 970-9955
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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 036-107538 (IL)

Record details

NPI number1215919196
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESAugust 12, 2023
Certification dateAugust 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Cordial Medical Center, S.C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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