Search › Illinois › 183500000X
John Ilic
NPI 1669013579 · on the registry since 2019 · sole proprietor
Practice
- Address
- 542 Lathrop Ave
River Forest, IL 60305 - Phone
- (630) 815-5064
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-01
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