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Organization

ALEKSANDAR KONDIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARLA M RUSSELL (OFFICE MANAGER)
(630) 855-5155
Entity
Organization

Contact information

Practice address
309 N OLTENDORF RD, STREAMWOOD, IL 60107-6889
(630) 855-5155
(630) 855-5187
Mailing address
309 N OLTENDORF RD, STREAMWOOD, IL 60107-6889
(630) 855-5155
(630) 855-5187

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036116931
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036116931
IL
Enumeration date
10/14/2008
Last updated
10/01/2014
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