Individual
LAZARINA KOSTOVA PARASKEVOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
1245 WISE ST, ELBURN, IL 60119-9530
(815) 463-0098
(815) 462-4955
Mailing address
PO BOX 369, NEW LENOX, IL 60451-0369
(815) 463-0098
(815) 462-4955
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000455
IL
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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