Individual
MS. VERA NISAVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
676 N SAINT CLAIR ST, STE 450, CHICAGO, IL 60611-2927
(312) 988-1352
Mailing address
676 N SAINT CLAIR ST, STE 450, CHICAGO, IL 60611-2927
(312) 988-1352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001289
IL
Other
Enumeration date
11/16/2006
Last updated
02/18/2010
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