Provider Demographics
NPI:1194339911
Name:DROZD, VICTORIA LEAH (MD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LEAH
Last Name:DROZD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9875 W LINCOLN HWY STE 103
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1933
Mailing Address - Country:US
Mailing Address - Phone:312-257-4617
Mailing Address - Fax:
Practice Address - Street 1:9875 W LINCOLN HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423
Practice Address - Country:US
Practice Address - Phone:312-257-4617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125077261208000000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program