Individual
DR. MISHA JANE IVETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4084 SOUTHWEST HWY, HOMETOWN, IL 60456-1100
(708) 424-8110
(708) 425-3878
Mailing address
211 EAST OHIO, #906, CHICAGO, IL 60611-7200
(312) 222-1955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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