Individual
VLADIMIR STALEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED SA
Contact information
Practice address
5978 N LINCOLN AVE APT 2C, CHICAGO, IL 60659-3747
(847) 415-2850
Mailing address
5978 N LINCOLN AVE APT 2C, CHICAGO, IL 60659-3747
(847) 415-2850
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
238.000203
IL
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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