Bohdan Askold Iwanetz, MD

NPI #1013916089 in Dolton, Illinois

Provider Information

NPI Number
1013916089
Entity Type
Individual
Name
Bohdan Askold Iwanetz, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Surgery
Credential
MD
Enumeration Date
Jul 20, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
713 E 142ND ST
City
Dolton
ZIP Code
60419-1062
Phone
(708) 841-1121

Specialties & Taxonomy Codes

Specialty
Surgery

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Organizations

Provider Name
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