Individual
JASMINKA KOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3114 W IRVING PARK RD, CHICAGO, IL 60618-3406
(773) 588-6680
(773) 588-6451
Mailing address
3114 W IRVING PARK RD, CHICAGO, IL 60618-3406
(773) 588-6680
(773) 588-6451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036104292
IL
207R00000X
Internal Medicine Physician
036104292
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104292
—
IL
Enumeration date
12/15/2005
Last updated
02/28/2017
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