Individual
MISS GJULSHANA NURCESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
40 75TH ST, WILLOWBROOK, IL 60527-2325
(630) 581-5372
Mailing address
PO BOX 337, CONOVER, NC 28613-0337
(828) 994-4570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1407812308
NC
363A00000X
Physician Assistant
Primary
085008844
IL
Other
Enumeration date
06/05/2019
Last updated
11/23/2022
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