OrganizationActive
A Podolskiy MD Sc
NPI 1578634168 · Family Medicine Physician · Libertyville, IL
Provider details
- NPI number
- 1578634168
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Aleksandr Podolskiy, Medical Director(847) 918-0430
- License
- 036111753 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
755 S Milwaukee Ave
Suite 164
Libertyville, IL 60048-3253
Phone: (847) 918-0430
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5979
Buffalo Grove, IL 60089-5979
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2013-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.