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Individual

DR. VERA TESIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5841 S. MARYLAND AVE, MC 3083, CHICAGO, IL 60637
(773) 702-5450
(773) 834-5414
Mailing address
502 PARK AVE, RIVER FOREST, IL 60305-1713
(708) 218-6578
(708) 488-9170

Taxonomy

Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
Primary
036-117391
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036-117391
IL

Other

Enumeration date
09/05/2008
Last updated
06/23/2009
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