STEVEN VSEVOLOD TRAKHTMAN PHYSICIAN ASSISTANT
NPI 1831100361
Physician Assistant - Medical in Melrose Park, IL

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since August 10, 2006PECOS Enrolled

675 W NORTH AVE, SUITE 606, MELROSE PARK, IL 60160(708) 681-7877(800) 801-6284 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Steven Vsevolod Trakhtman Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEVEN VSEVOLOD TRAKHTMAN PHYSICIAN ASSISTANT (NPI 1831100361) is an individual medical provider in Melrose Park, Illinois and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831100361

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSTEVEN VSEVOLOD TRAKHTMANCredential: PHYSICIAN ASSISTANT

Location Address675 W NORTH AVE, SUITE 606Melrose Park, IL 60160-1634

Mailing Address8936 Niles Center Rd Unit DSkokie, IL 60076-1847 · (847) 606-7988 · Fax (800) 801-6284

Phone(708) 681-7877

Fax(800) 801-6284

Sole ProprietorNo

Enumeration DateAugust 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1831100361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

675 W NORTH AVE, Melrose Park, IL 60160

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Other Identifiers 1

Medicare UPINP74753IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steven Vsevolod Trakhtman Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.