Individual
JESSIE AW-ZORETIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, RADIOLOGY DEPARTMENT, CHILDREN'S MEMORIAL HOSPITAL, CHICAGO, IL 60611-2991
(312) 909-7773
Mailing address
225 E CHICAGO AVE, RADIOLOGY DEPARTMENT, CHILDREN'S MEMORIAL HOSPITAL, CHICAGO, IL 60611-2991
(312) 909-7773
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
036.133811
IL
2085R0202X
Diagnostic Radiology Physician
036.133811
IL
284300000X
Special Hospital
125058348
IL
Other
Enumeration date
06/16/2011
Last updated
07/20/2020
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