Maxim a Chasanov, MD Sc
NPI #1033245105 in Northbrook, Illinois
Provider Information
- NPI Number
- 1033245105
- Entity Type
- Organization
- Organization Name
- Maxim a Chasanov, MD Sc
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Dec 24, 2008
Practice Location
- Address
- 1535 LAKE COOK RD
- Address 2
- SUITE 112
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-1447
- Phone
- (847) 363-0817
Authorized Official
- Name
- DR. MAXIM ALEXIS CHASANOV, M.D.
- Title
- PRESIDENT
- Phone
- (847) 363-0817
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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