Provider Demographics
NPI:1083814891
Name:VOYTSEKHOVSKIY, ROMAN VICTOR (MD)
Entity type:Individual
Prefix:DR
First Name:ROMAN
Middle Name:VICTOR
Last Name:VOYTSEKHOVSKIY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 W ADAMS ST
Mailing Address - Street 2:3B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3028
Mailing Address - Country:US
Mailing Address - Phone:312-593-1178
Mailing Address - Fax:
Practice Address - Street 1:1700 W CENTRAL RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2474
Practice Address - Country:US
Practice Address - Phone:847-259-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery