DR. PETER B. DRAGISIC (NPI# 1205932332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205932332 |
| Entity Type | Individual |
| Full Name | DR. PETER B. DRAGISIC |
| Credential | M.D. |
| Practice Address |
4201 W 95th St Oak Lawn IL 60453-2615 |
| Practice Telephone | 7086361466 |
| Practice Fax Number | 7086360264 |
| Mailing Telephone | 7086361466 |
| Mailing Fax Number | 7086360264 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-092116 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 01636324 | 01 |
| IL | 016092116 | 05 |
| Street Address |
4201 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063518108 | Dragomir Jovanovic | Family Medicine | 4201 W 95th St, Oak Lawn, IL 60453-2615 | 2006-09-16 |
| 1508351446 | Sarah Elizabeth Gonzales Zoeteman | Nurse Practitioner | 4201 W 95th St, Oak Lawn, IL 60453-2615 | 2018-06-23 |
| 1083905582 | Oak Lawn Immediate Care LLC | Family Medicine | 4201 W 95th St, Oak Lawn, IL 60453-2615 | 2011-05-02 |
| 1497060024 | Oak Lawn Immediate Care LLC | Clinic/Center | 4201 W 95th St, Oak Lawn, IL 60453-2615 | 2010-08-06 |
| 1568773117 | Amit Agarwal | Family Medicine | 4201 W 95th St, Oak Lawn, IL 60453-2615 | 2010-06-29 |
| 1861515355 | Adva-med Surgical Association Inc | Clinic/Center | 4201 W 95th St, Oak Lawn, IL 60453-2615 | 2007-04-09 |
| 1104946201 | Branislav Dragisic | Anesthesiology | 4201 W 95th St, Oak Lawn, IL 60453-2615 | 2007-03-30 |
| 1124129697 | P D Medical, S.c. | Family Medicine | 4201 W 95th St, Oak Lawn, IL 60453-2615 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1780111435 | Dorothy Anna Skorusa | Family Medicine | 9555 S. 52nd Avenue, Oak Lawn, IL 60453-3054 | 2017-05-12 |
| 1467865873 | Kiran Bojedla | Family Medicine | 9555 South 52nd Ave, Oak Lawn, IL 60453 | 2014-06-04 |
| 1215183140 | Abrar Ali Husain | Family Medicine | 6101 W. 95th Street, Jencare Neighborhood Medical Center Oak Lawn, LLC, Oak Lawn, IL 60453 | 2008-08-12 |
| 1689886202 | Roxanne E Smith | Family Medicine | 9555 S 52nd Ave Ste F, Oak Lawn, IL 60453-3054 | 2007-05-04 |
| 1366578791 | Kevin Z Krol | Family Medicine | 10501 S Kildare Ave, Oak Lawn, IL 60453-5301 | 2007-02-27 |
| 1710071964 | Steven Michael Hattori | Family Medicine | 9555 S. 52nd Ave, Oak Lawn, IL 60453 | 2006-10-03 |
| 1063518108 | Dragomir Jovanovic | Family Medicine | 4201 W 95th St, Oak Lawn, IL 60453-2615 | 2006-09-16 |
| Find all providers in OAK LAWN | ||||
Please comment or provide details below to improve the information on DR. PETER B. DRAGISIC.
| 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.