DR. VLADIMIR VIDANOVIC M.D. NPI 1366459562

NPI Information

  • NPI: 1366459562
  • Provider Name: DR. VLADIMIR VIDANOVIC, M.D.
  • Classification: Pathology - 207ZH0000X
  • Specialization: Hematology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2160 S 1ST AVE # EMS2280
    MAYWOOD, IL
    ZIP 60153
  • Phone: (708) 327-2689

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NPI Details

DR. Vladimir Vidanovic, M.D. is a hematology pathology in Maywood, IL. The provider is a hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. DR. Vladimir Vidanovic, M.D. NPI is 1366459562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2160 S 1ST AVE # EMS2280
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 327-2689
Fax: (312) 704-2737

The NPI 1366459562 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/28/2024.

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
1207ZH0000XPathologyHematology36114637ILLINOISYes

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: 3/30/2025

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