Individual
VIJAYA MORANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-0192
Mailing address
2368 PAYSPHERE CIR, CHICAGO, IL 60674-2368
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
IL
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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