Bohdan Askold Iwanetz, MD is a
Surgery physician based in Dolton, Illinois. Bohdan Askold Iwanetz is licensed to practice in Illinois (license number ) and his current practice location is 713 E 142nd St, Dolton, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 841-1121.
NPI number for Bohdan Askold Iwanetz is 1013916089 and his current mailing address is 713 E 142nd St, Dolton, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013916089.
Physician's Profile
| Full Name | Bohdan Askold Iwanetz |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 713 E 142nd St, Dolton, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013916089
- Provider Enumeration Date: 07/20/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Bohdan Askold Iwanetz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013916089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bohdan Askold Iwanetz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bohdan Askold Iwanetz, MD
713 E 142nd St,
Dolton, IL 60419-1062
Ph: (708) 841-1121 | Bohdan Askold Iwanetz, MD
713 E 142nd St,
Dolton, IL 60419-1062
Ph: (708) 841-1121 |
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