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Individual
SAID JUSIC
Active
Individual
SAID JUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036176708
IL
208000000X
Pediatrics Physician
Primary
125.082200
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2023
Last updated
06/30/2026
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