Individual
IVO GEORGIEV TZVETANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 S. WOOD STREET - MC 958, STE 402, CHICAGO, IL 60612-4325
(312) 996-6771
(312) 996-1320
Mailing address
840 S. WOOD STREET - MC 958, STE 402, CHICAGO, IL 60612-4325
(312) 996-6771
(312) 996-1320
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
036113477
IL
208600000X
Surgery Physician
036113477
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113477
—
IL
01
—
P00753158
RR
IL
Enumeration date
06/03/2007
Last updated
01/18/2013
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