Andrei Vladimir Pankov, M.D. Valid NPI

Individual provider · Psychiatry Physician · Aurora, IL

NPI

1225285703

Type

Individual (Type 1)

Primary specialty

Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0800X

License number

036127557 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2008-08-26

Last updated

2012-07-30