Individual
KELLY PJEVCEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9000 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2127
(847) 324-3976
Mailing address
900 RAND RD STE 300, ATTN: RAQUEL LEON, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-003156
IL
Other
Enumeration date
11/06/2007
Last updated
08/29/2012
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