Individual
ZOFIA ZHIVANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5216
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036111768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111768
—
IL
Enumeration date
08/08/2006
Last updated
03/03/2015
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