Individual
AJLA SABANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209023079
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209023079
ILLINOIS PROFESSIONAL LICENSE
IL
Enumeration date
09/22/2021
Last updated
08/02/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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