SearchIllinois2255A2300X

Edin Alic

NPI 1427830074 · on the registry since 2023 · sole proprietor

Practice

Address
5050 E State St
Rockford, IL 61108
Phone
(773) 757-3454
Organisation at this address
Rockford University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-26

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