Dr. Victoria Kalivoda -Popela
Family Doctor - Geriatric Medicine
1000 W Harlem Ave
Monmouth
, Illinois 61462-1007
Dr. Victoria Kalivoda -Popela
Family Doctor - Geriatric Medicine
1000 W Harlem Ave
Monmouth
, Illinois 61462-1007
(309) 734-0323
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Victoria Kalivoda -Popela
- 1000 W Harlem Ave
- Monmouth, IL
- Zip : 61462-1007
- Fax : (309) 734-0323
- Phone : (309) 734-1414
Second Address
- Dr. Victoria Kalivoda -Popela
- 1000 W Harlem Ave
- Monmouth, IL
- Zip : 61462-1007
- Fax : (309) 734-0323
- Phone : (309) 734-1414
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 036075881 | IL |
National Provider Identifier
| NPI | 1063408631 |
|---|---|
| Provider Name | Dr. Victoria Kalivoda -Popela |
| First Address | Monmouth, IL 61462-1007 |
| Second Address | Monmouth, IL 61462-1007 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2005 |
| Last Update Date | 09/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 371352599001 | (05) | IL |
| E30152 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.