Provider Demographics
NPI:1780914408
Name:LYCHYK, NEONILA S (MD)
Entity type:Individual
Prefix:DR
First Name:NEONILA
Middle Name:S
Last Name:LYCHYK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:RIVER FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60305-1804
Mailing Address - Country:US
Mailing Address - Phone:708-366-8471
Mailing Address - Fax:708-366-8472
Practice Address - Street 1:518 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:RIVER FOREST
Practice Address - State:IL
Practice Address - Zip Code:60305-1804
Practice Address - Country:US
Practice Address - Phone:708-366-8471
Practice Address - Fax:708-366-8472
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.033876207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology