Individual
EDI KAPETANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/MBA
Contact information
Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-5978
Mailing address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-5978
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036164007
IL
Other
Enumeration date
04/05/2018
Last updated
11/07/2023
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