RADA I IVANOV MD SC

CHICAGO, IL
NPI1821484254
Entity TypeOrganization
Authorized ContactRADA I IVANOV
President
708-250-1829
Organization Subpart ?No
Primary Taxonomy207RP1001X Internal Medicine Pulmonary Disease
(Licence: IL  036089071)
Enumeration Date2015-04-13
Last Update Date2015-04-13
Business Address
RADA I IVANOV MD SC
836 W WELLINGTON AVE
CHICAGO, IL 60657-5147
Phone number: 708-250-1829
Mailing Address
RADA I IVANOV MD SC
1516 FRANKLIN AVE
RIVER FOREST, IL 60305-1043
Phone number: 708-250-1829