Individual
JELENA NIKOLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7240
Mailing address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036156526
IL
208M00000X
Hospitalist Physician
Primary
036156526
IL
Other
Enumeration date
02/15/2018
Last updated
09/03/2021
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