Individual
MARINA IVANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
(319) 353-6861
(319) 384-9613
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
39066
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036114395
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
39066
IA
Other
Enumeration date
10/25/2005
Last updated
10/10/2023
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