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Individual

RONALD F LEDVORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(773) 869-7488
Mailing address
3614 EAST AVE, BERWYN, IL 60402-3851
(708) 484-5451

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
IL

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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