Provider Demographics
NPI:1134446537
Name:ALITOVSKA, AJRIJE
Entity type:Individual
Prefix:
First Name:AJRIJE
Middle Name:
Last Name:ALITOVSKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 TYLER CREEK PLZ
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-1784
Mailing Address - Country:US
Mailing Address - Phone:847-894-7493
Mailing Address - Fax:
Practice Address - Street 1:104 TYLER CREEK PLZ
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-1784
Practice Address - Country:US
Practice Address - Phone:847-894-7493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227.006470225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist