Jaroslaus T Iwanetz MD Sc

NPI #1518072024 in Dolton, Illinois

Provider Information

NPI Number: 1518072024
Entity Type: Organization
Organization Name: Jaroslaus T Iwanetz MD Sc
Primary Specialty: Surgery
Enumeration Date: Aug 21, 2006
Last Updated: Jun 23, 2008

Practice Location

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

Authorized Official

Name: BOHDAN A IWANETZ, MD
Title: PHYSICIAN SECRETARY OF CORP
Phone: (708) 841-1121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Surgery	208600000X	Primary

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