Individual
JELENA ANTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2648 DEMPSTER ST, PARK RIDGE, IL 60068-8404
(847) 298-2802
Mailing address
6916 W SUMMERDALE AVE, CHICAGO, IL 60656-2046
(773) 678-3434
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
051305006
IL
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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