YAROSLAW BANDURA MD SC
Marriage and Family Therapists at Division St, Chicago, IL

License number
Illinois 036058978
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. YAROSLAW BANDURA MD
Title: PRESIDENT
Phone: (773) 489-0512
Address
Address
2222 W Division St SUITE 250, Chicago, IL 60622
National Provider ID: 1710148291
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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YAROSLAW BANDURA MD. S.C

Chicago, IL 60622

Status:
Inactive
Registration:
Apr 9, 1991
State ID:
56342699
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Yaroslaw Bandura,2141 W Augusta Blvd, Chicago, IL 60622 (Physical)

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