OrganizationActive
A. Podolskiy, MD, Sc
NPI 1386682714 · Family Medicine Physician · Libertyville, IL
Provider details
- NPI number
- 1386682714
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Aleksandr Podolskiy, Medical Director(847) 918-1500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
755 S Milwaukee Ave
Suite 164
Libertyville, IL 60048-3253
Phone: (847) 915-1500
Fax: (847) 915-7580
Approximate (ZIP-level) locationGet directions
Mailing address
755 S Milwaukee Ave
Libertyville, IL 60048-3253
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.