Individual
GORDANA KOSTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4101 1ST AVE, LYONS, IL 60534-1028
(708) 447-6851
(708) 447-0568
Mailing address
605 NELSON LN, WESTMONT, IL 60559-2893
(630) 829-4081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051037805
IL
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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