Individual
DR. DIMITRINA VIZINAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1440 RENAISSANCE DR STE 300, PARK RIDGE, IL 60068-1471
(847) 254-9714
(847) 803-1806
Mailing address
1440 RENAISSANCE DR, SUITE 300, PARK RIDGE, IL 60068-1356
(847) 207-8593
(847) 803-1806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036138515
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036138515
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
03/26/2012
Last updated
01/04/2016
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