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Individual

DR. ARETA KOWAL-VERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1700 RIVERWOODS DR APT 312, MELROSE PARK, IL 60160-1613
(708) 344-7626
Mailing address
1700 RIVERWOODS DR APT 312, MELROSE PARK, IL 60160-1613
(708) 344-7626

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
036.065992
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036.065992
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
06/02/2015
Last updated
06/02/2015
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