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Individual

VADIM KAZLOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RSA

Contact information

Practice address
6330 BELMONT RD STE 5, DOWNERS GROVE, IL 60516-2126
(630) 241-1933
(832) 804-8896
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000581
IL

Other

Enumeration date
09/04/2020
Last updated
09/04/2020
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