Individual
VANIA ZAYAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-2626
Mailing address
821 DUNLOP AVE, FOREST PARK, IL 60130-2513
(708) 771-2072
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036120664
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249483232
LOYOLA
IL
Enumeration date
08/27/2008
Last updated
08/27/2008
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