Organization
HAVERIC MEDICAL LTD
Active
Organization
HAVERIC MEDICAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZLATKO HAVERIC M.D. (PRESIDENT)
(815) 436-6814
Entity
Organization
Contact information
Practice address
333 N MADISON ST, JOLIET, IL 60435
(815) 725-7133
(630) 455-6224
Mailing address
PO BOX 621, HINSDALE, IL 60522-0621
(815) 436-6814
(630) 455-6224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932317
BLUESHIELD
IL
Enumeration date
07/04/2006
Last updated
01/15/2008
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