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Individual

MISS EMINA DJELOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2530 RIDGE AVE, EVANSTON, IL 60201-2492
(866) 815-6592
(847) 486-4145
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
(866) 815-6592
(847) 486-4145

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012873
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056.012873
IL OT LICENSE
IL
Enumeration date
06/27/2019
Last updated
07/02/2019
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