Bohdan Askold Iwanetz MD

NPI 1013916089 - Surgery - 208600000X

NPI Details
NPI 1013916089
Gender Male
Enumeration Date 07/20/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
713 E 142ND ST
DOLTON IL, 60419-1062, US
Phone (708) 841-1121
Fax (708) 841-6976
Business Location
713 E 142ND ST
DOLTON IL, 60419-1062, US
Phone (708) 841-1121
Fax (708) 841-6976
Toxanomy
Taxonomy Code 208600000X
License State
License Number
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According to our database, Bohdan Askold Iwanetz MD NPI is 1013916089, taxonomy code is 208600000X Bohdan Askold Iwanetz MD physically located at 713 E 142nd St, Dolton IL, 60419-1062. NPI Number Bohdan Askold Iwanetz MD has the Individual type.

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1013916089 NPI number is provided on an as is basis without warranty of any kind. 1013916089 is maintained by the National Plan & Provider Enumeration System. The contents of Bohdan Askold Iwanetz MD are for informational purposes only.