Individual
DR. NEDA ZERGOLLERN TKALCEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 TOWER CT STE C, GREENLEAF CENTER, GURNEE, IL 60031-3322
(847) 559-0715
(847) 599-0766
Mailing address
1801 MILLBURNE RD, LAKE FOREST, IL 60045
(847) 295-7620
(847) 295-7619
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036050674
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04900707
BLUE SHIELD
—
Enumeration date
02/03/2006
Last updated
11/12/2009
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