Jaroslaus T Iwanetz MD SC
Jaroslaus T Iwanetz MD SC provides Family Medicine Physician services in Dolton, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
713 E 142nd StDolton, IL 60419-1062 Not confirmed with CMS for 18 years — call before visiting
Phone: (708) 841-1121
Fax: (708) 841-6976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 042003889 (IL) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 042003889 (IL) |
Record details
| NPI number | 1518072024 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bohdan Iwanetz — Physician Secretary Of Corp · (708) 841-1121 |
| NPI enumerated | August 21, 2006 |
| Last updated in NPPES | June 23, 2008 |
| Mailing address | 713 E 142nd St, Dolton, IL 60419-1062 |