IRENE FEDOROVICH

MARION, IL
NPI1740384189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: IL  036109806)
Additional Taxonomies207W00000X Ophthalmology
(Licence: MO  2003028760)
Enumeration Date2006-09-07
Last Update Date2007-07-08
Business Address
-- IRENE FEDOROVICH MD
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
Mailing Address
-- IRENE FEDOROVICH MD
619 LAKE HARBOR DR
MARION, IL 62959-5550
Phone number: