Provider Demographics
NPI:1588873756
Name:KRYUKOV, DJAMILIA EMILBEKOVNA (MD)
Entity type:Individual
Prefix:DR
First Name:DJAMILIA
Middle Name:EMILBEKOVNA
Last Name:KRYUKOV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1555 BARRINGTON RD STE 425
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1065
Mailing Address - Country:US
Mailing Address - Phone:847-755-1111
Mailing Address - Fax:847-755-1166
Practice Address - Street 1:1555 BARRINGTON RD STE 425
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1065
Practice Address - Country:US
Practice Address - Phone:847-755-1111
Practice Address - Fax:847-755-1166
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301087775207VH0002X
IL036126711207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine