SearchIllinois225200000X

Mira Jovic

NPI 1093171415 · on the registry since 2016 · sole proprietor

Practice

Address
6801 13th St
Berwyn, IL 60402
Phone
(630) 960-2026

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois