Individual
AJLA SABANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 870-1775
(614) 968-8840
Mailing address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 870-1775
(614) 968-8840
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
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