Individual
DR. VICTORIA KALIVODA -POPELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 W HARLEM AVE, MONMOUTH, IL 61462-1007
(309) 734-1414
(309) 734-0323
Mailing address
1000 W HARLEM AVE, MONMOUTH, IL 61462-1007
(309) 734-1414
(309) 734-0323
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
036075881
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371352599001
—
IL
Enumeration date
09/20/2005
Last updated
02/09/2011
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