Doctor Name: | ELIZABETH OSTOJA |
NPI Number: | 1003006099 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDMS |
License Number: | 117674 |
Business Practice Address: | 4815 W Belle Plaine Ave Apt 209 Chicago, IL - 606411841 |
Business Phone Number: | 7737361762 |
Business Fax Number: | |
Mailing Address: | 4815 W Belle Plaine Ave Apt 209, CHICAGO |
State: | IL |
Postal Code: | 606411841 |
Phone Number: | 7737361762 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | 117674 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |