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Individual

VERA PETRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1541 RIVERBOAT CENTER DR, JOLIET, IL 60431-9341
(815) 942-2932
(815) 942-3154
Mailing address
1541 RIVERBOAT CENTER DR, JOLIET, IL 60431-9341
(815) 942-2932
(815) 942-3154

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036053513
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036053513-003
IL
Enumeration date
09/14/2006
Last updated
12/09/2009
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