Provider Demographics
NPI:1538612783
Name:JOVANOVIC, SNJEZANA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SNJEZANA
Middle Name:
Last Name:JOVANOVIC
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 BARTON DR
Mailing Address - Street 2:
Mailing Address - City:COUNTRYSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-3547
Mailing Address - Country:US
Mailing Address - Phone:708-646-4308
Mailing Address - Fax:
Practice Address - Street 1:5545 S BRAINARD AVE
Practice Address - Street 2:
Practice Address - City:COUNTRYSIDE
Practice Address - State:IL
Practice Address - Zip Code:60525-3542
Practice Address - Country:US
Practice Address - Phone:708-646-4308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-24
Last Update Date:2016-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051299550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist