NIKOLA IVANCEVIC DPM PC


Address: 135 S Palmer Dr, Suite 105, Elmhurst, IL 60126-3403
Phone: 6307826557

NIKOLA IVANCEVIC DPM PC (NPI# 1013191287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013191287
Entity Type Organization
Organization Name NIKOLA IVANCEVIC DPM PC
Practice Address 135 S Palmer Dr
Suite 105
Elmhurst
IL 60126-3403
Mailing Address 1630 Victoria Ave
Berkeley
IL 60163-1467
Practice Telephone 6307826557
Practice Fax Number 6307826559
Mailing Telephone 6307826557
Mailing Fax Number 6307826559
Enumeration Date 2007-12-24
Last Update Date 2008-04-22
Authorized Official Name NIKOLA IVANCEVIC (PODIATRIST)
Authorized Official Telephone 6307826557
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0131X Podiatrist
Specialization: Foot Surgery
016-004831 IL Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 016-004831 05
IL MEDICARE RAILROAD PIN 480027618 01

Office Location

Street Address 135 S PALMER DR
SUITE 105
City ELMHURST
State IL
Zip Code 60126-3403

Providers in the same zip code

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1154931434 Andrew D Chastain Physical Therapy Assistant 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 2020-08-03
1407464472 Kevin M. Dunn Physical Therapy Assistant 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 2020-07-16
1699236414 Rosario Garcia Nurse Practitioner 1200 York St, Elmhurst, IL 60126 2019-03-26
1003390857 Lauren M Gorski Physical Therapist 275 N. York Rd, Suite 300, Elmhurst, IL 60126 2018-09-18
1073041240 Kyle Patrick Harmon Dentist 127 W Vallette St, Elmhurst, IL 60126 2017-05-31
1083065031 Mariah Lynn Kyro Behavioral Analyst 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 2016-06-30
1841661261 Randi N. Rockell Nurse Practitioner 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 2015-10-12
1508254897 Soles Therapy Services Corp Speech-Language Pathologist 627 N York Street, Unit E, Elmhurst, IL 60126 2015-01-08
1629466560 Amy J Pawlik Physical Therapist 263 N. York Rd., Suite 200, Elmhurst, IL 60126 2014-12-30
1265771349 Ladawna Goering Nurse Practitioner 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 2013-02-08
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Taxonomy Information

Taxonomy Code 213ES0131X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184731739 Daniel De Fazio Mathews Podiatrist 4035 95th St, Elmhurst, NY 11373-6200 2006-08-23
1003937913 Daniel D. Mathews Dpm PC Podiatrist 4035 95th St, Lower Level, Elmhurst, NY 11373-6200 2007-04-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902269301 Jillian Cabai Podiatrist 3000 N Halsted St Ste 606, Chicago, IL 60657-6456 2016-04-01
1710279641 Prpodiatry, LLC Podiatrist 433 W Briar Pl, Unit 7b, Chicago, IL 60657-4752 2011-05-11
1205071149 Bradley W. Buckrop Dpm Podiatrist 3727 46th Ave, Suite 103, Rock Island, IL 61201-7078 2008-12-05
1396919130 Marwa Sayed Podiatrist 7255 W 87th St Unit 1, Bridgeview, IL 60455-1821 2008-04-14
1659577575 Pam Eernisse Dpm Sc Podiatrist 680 N Lake Shore Dr # 1305, Chicago, IL 60611-4546 2007-06-26
1720118367 Larry Allen Keyes Podiatrist 1023 Madison St, Oak Park, IL 60302-4404 2007-03-06
1548399462 Two Steps Ahead Podiatry, Inc. Podiatrist 1001 E Wilson St Ste 180, Batavia, IL 60510-3168 2007-03-05
1447392972 Willie Lee Brown Podiatrist 10700 Lincoln Trl, Suite E, Fairview Heights, IL 62208-2037 2007-02-12
1972685410 Nikola Ivancevic Podiatrist 5646 St Charles Rd, Suite B, Berkeley, IL 60163 2006-10-20
1205868551 Angela Pezzuto Podiatrist 1424 E. 53rd St., Ste.301, Mitchell Foot and Ankle, Chicago, IL 60615 2006-07-07
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Competitor

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City ELMHURST
Zip Code 60126

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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