Provider Demographics
NPI:1164116885
Name:SALIMOVA, DINARA FAILYEVNA (MD)
Entity Type:Individual
Prefix:
First Name:DINARA
Middle Name:FAILYEVNA
Last Name:SALIMOVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 YASNAYA STREET
Mailing Address - Street 2:APT. 168
Mailing Address - City:MOSCOW
Mailing Address - State:RUSSIA
Mailing Address - Zip Code:108814
Mailing Address - Country:RU
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2900 N. LAKE SHORE DRIVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657
Practice Address - Country:US
Practice Address - Phone:967-206-0766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program