Individual
DR. LUCRETIA NICOLETA GHIDANAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3714 N HERMITAGE AVE, CHICAGO, IL 60613-3509
(647) 460-6472
Mailing address
3714 N HERMITAGE AVE, CHICAGO, IL 60613-3509
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.071546
IL
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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