Individual
ELIZABETH MARIE RETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036127442
IL
207RI0011X
Interventional Cardiology Physician
Primary
036127442
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036127442
STATE LICENSE
IL
Enumeration date
07/01/2008
Last updated
10/19/2018
Update your record
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