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Individual
KATIA V ILIEVA
Active
Individual
KATIA V ILIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-096083
IL
207Q00000X
Family Medicine Physician
Primary
036-096083
IL
2083X0100X
Occupational Medicine Physician
036-096083
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036096083
BLUE SHIELD
IL
01
—
K34497
MEDICARE
IL
Enumeration date
09/20/2006
Last updated
02/08/2022
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