Individual
INES DIDOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
680 N LAKE SHORE DR STE 117, CHICAGO, IL 60611-4448
(312) 288-6420
Mailing address
400 E RANDOLPH ST APT 3721, CHICAGO, IL 60601-5065
(708) 307-5653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.438142
IL
363LF0000X
Family Nurse Practitioner
Primary
209021959
IL
Other
Enumeration date
12/09/2019
Last updated
12/07/2023
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