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1003837998
ETEL ZEVELEVA
EVANSTON, IL
NPI
1003837998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085-001355)
Enumeration Date
2006-07-23
Last Update Date
2007-07-12
Business Address
Mrs. ETEL ZEVELEVA pa-c
107 CLYDE AVE
EVANSTON, IL 60202-4001
Phone number: 847-869-7389
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Mailing Address
Mrs. ETEL ZEVELEVA pa-c
7307 N EAST PRAIRIE RD
LINCOLNWOOD, IL 60712-1009
Phone number: 847-677-5983
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