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NIKOLA IVANCEVIC DPM PC NPI 1013191287


NPI Information

NPI: 1013191287
Provider Name: NIKOLA IVANCEVIC DPM PC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
135 S PALMER DR
SUITE 105
ELMHURST, IL
ZIP 60126
Phone: (630) 782-6557
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NIKOLA IVANCEVIC DPM PC is a foot surgery podiatrist in Elmhurst, IL. NIKOLA IVANCEVIC DPM PC NPI is 1013191287. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

135 S PALMER DR
SUITE 105
ELMHURST, IL
ZIP 60126-403
Phone: (630) 782-6557
Fax: (630) 782-6559

The provider's authorized official is Nikola Ivancevic .
The authorized official title is Podiatrist and has the following contact phone number (630) 782-6557.

The enumeration date for this NPI number is 12/24/2007 and was last updated on 4/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot Surgery016-004831ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1480027618OTHERILLINOISMEDICARE RAILROAD PIN
2208174MEDICARE PINILLINOIS
35448760001MEDICARE NSCILLINOIS
4213034MEDICARE PINILLINOIS
5016-004831MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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