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Zaklina Ivanovic

NPI 1558643072 · on the registry since 2011 · sole proprietor

Practice

Address
8930 Calumet Ave
Munster, IN 46321
Phone
(219) 513-0894
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
1835P1200X
1835P1200X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-09-10

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 Indiana