Search › Illinois › 122300000X
Misha Ivetich, DDS
NPI 1154443919 · on the registry since 2007
Practice
- Address
- 4084 Southwest Hwy
Hometown, IL 60456 - Phone
- (708) 424-8110
- Fax
- (708) 425-3878
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois