Individual
MRS. LIUDMILA VASILETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3111 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5235
(618) 519-9200
(618) 985-9155
Mailing address
109 CALIFORNIA ST., PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 519-9200
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.155616
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2018
Last updated
09/09/2021
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