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1194229765
ROKSOLANA ZADERETSKII
NAPERVILLE, IL
NPI
1194229765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 085006520)
Enumeration Date
2018-03-20
Last Update Date
2018-03-20
Business Address
ROKSOLANA ZADERETSKII PA
801 S WASHINGTON ST FL 4
NAPERVILLE, IL 60540-7430
Phone number: 630-416-8500
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Mailing Address
ROKSOLANA ZADERETSKII PA
2650 WARRENVILLE RD STE 280
DOWNERS GROVE, IL 60515-2075
Phone number: 630-324-7900
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