TEAH QVAVADZE

SPRINGFIELD, IL
NPI1033523501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2086S0129X Surgery, Vascular Surgery
(Licence: IL  036.166578)
Additional Taxonomies208600000X Surgery
(Licence: PA  MT207459)
208600000X Surgery
(Licence: IL  036.166578)
Enumeration Date2014-06-12
Last Update Date2023-08-29
Business Address
TEAH QVAVADZE MD
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702-6700
Phone number: 217-545-8000
Mailing Address
TEAH QVAVADZE MD
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-8000