| Jaroslaus T Iwanetz Md Sc | |
|
713 E 142nd St Dolton IL 60419-1062 | |
| (708) 841-1121 | |
| (708) 841-6976 |
| Full Name | Jaroslaus T Iwanetz Md Sc |
|---|---|
| Speciality | Surgery |
| Location | 713 E 142nd St, Dolton, Illinois |
| Authorized Official Name and Position | Bohdan A Iwanetz (PHYSICIAN SECRETARY OF CORP) |
| Authorized Official Contact | 7088411121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaroslaus T Iwanetz Md Sc 713 E 142nd St Dolton IL 60419-1062 Ph: (708) 841-1121 | Jaroslaus T Iwanetz Md Sc 713 E 142nd St Dolton IL 60419-1062 Ph: (708) 841-1121 |
| NPI Number | 1518072024 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518072024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042003889 (Illinois) | Secondary |
| 208600000X | Surgery | 042003889 (Illinois) | Primary |
Family Christian Health Center-dolton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 713 E 142nd St, Dolton, IL 60419 Phone: 708-596-5177 | |
Power Of Touch Massage Therpay Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15223 Chicago Rd, Dolton, IL 60419 Phone: 708-205-1554 |