DANIELA CVETKOVA

LAKE FOREST, IL
NPI1548534977
Former NameDANIELA CVETKOVA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085005467)
Additional Taxonomies101YM0800X Counselor, Mental Health
363AM0700X Physician Assistant, Medical
(Licence: IL  085005467)
Enumeration Date2012-03-02
Last Update Date2022-08-30
Business Address
DANIELA CVETKOVA PA
915 S WAUKEGAN RD
LAKE FOREST, IL 60045-2654
Phone number: 847-234-8866
Mailing Address
DANIELA CVETKOVA PA
915 S WAUKEGAN RD
LAKE FOREST, IL 60045-2654
Phone number: 847-234-8866