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Individual

MIRA JOVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6801 13TH ST, BERWYN, IL 60402-1638
(630) 960-2026
Mailing address
6801 13TH ST, BERWYN, IL 60402-1638
(630) 960-2026

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005378
IL

Other

Enumeration date
01/14/2016
Last updated
01/14/2016
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