Search › Illinois › 183500000X
Alexander Vartanian
NPI 1407476112 · on the registry since 2020
Practice
- Address
- 913 N Market St
Waterloo, IL 62298 - Phone
- (618) 939-9906
- Organisation at this address
- Walgreen Co
Walgreen Co.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-22
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