Misha Jane Ivetich, DDS
Dentist · Hometown, IL
NPI number
1154443919
Practice location
4084 Southwest HwyHometown, IL 60456-1100
- Phone
- (708) 424-8110
- Fax
- (708) 425-3878
NPI record
- NPI
- 1154443919
- Entity type
- Individual (Type 1)
- Enumeration date
- April 4, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
— | IL |
Mailing address
211 East Ohio#906
Chicago, IL 60611-7200
- Phone
- (312) 222-1955
About Dr. Ivetich
Misha Jane Ivetich, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4084 Southwest Hwy, Hometown, IL 60456-1100. The NPI number 1154443919 was assigned on April 4, 2007 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Misha Jane Ivetich, DDS?
The NPI number is 1154443919.
What is the phone number of Dr. Ivetich?
The phone number listed for the practice location is (708) 424-8110.
Where is Dr. Ivetich located?
4084 Southwest Hwy, Hometown, IL 60456-1100.
What is the taxonomy code for Dr. Ivetich?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Hometown
- Amiel George Pappas, DDS4084 Southwest Highway
- Hometown Dental Care PC4084 Southwest Highway
- Ashok Jhanji, DDS,MS8731 S Cicero Ave