Individual
VICTORIA SHUSHARINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
8150 185TH ST, STE A, TINLEY PARK, IL 60487-9229
(708) 468-8716
Mailing address
8150 185TH ST, STE A, TINLEY PARK, IL 60487-9229
(708) 468-8716
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
4301097356
MI
Other
Enumeration date
07/30/2008
Last updated
07/10/2012
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