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1861624975
ILIJAS GUSMIROVIC
MARYVILLE, IL
NPI
1861624975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 036135225)
Enumeration Date
2009-08-23
Last Update Date
2015-06-09
Business Address
Dr. ILIJAS GUSMIROVIC D.O.
6800 STATE ROUTE 162
MARYVILLE, IL 62062-8500
Phone number: 314-577-8000
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Mailing Address
Dr. ILIJAS GUSMIROVIC D.O.
6800 STATE ROUTE 162
MARYVILLE, IL 62062-8500
Phone number: 314-616-5799
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