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1184699076
TIMOTHY VAVRA
MAYWOOD, IL
NPI
1184699076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 36098617)
Enumeration Date
2006-02-22
Last Update Date
2021-07-26
Business Address
TIMOTHY VAVRA DO
2160 S FIRST AVE (17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)
MAYWOOD, IL 60153
Phone number: 630-627-7399
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Mailing Address
TIMOTHY VAVRA DO
2160 S FIRST AVE (17W740 22ND STREET, OAKBROOK TERRACE, IL. 60181)
MAYWOOD, IL 60153
Phone number: 630-627-7399
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