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Individual

DR. VANEE V VIRASCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1725 W HARRISON ST, #918, CHICAGO, IL 60612-3841
(312) 942-2734
(312) 942-2156
Mailing address
1725 W HARRISON ST, #918, CHICAGO, IL 60612-3841
(312) 942-2734
(312) 942-2156

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036122906
IL

Other

Enumeration date
02/27/2008
Last updated
11/12/2009
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