Individual
VIKTOR CLIFFORD TOLLEMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 W HARRISON ST STE 300, CHICAGO, IL 60612-4861
(224) 229-7635
Mailing address
1611 W HARRISON ST STE 300, CHICAGO, IL 60612-4861
(224) 229-7635
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036164606
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
036.164606
IL
Other
Enumeration date
06/06/2018
Last updated
06/06/2023
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