DR. DIJANA KASUMOVIC (NPI# 1588185995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588185995 |
| Entity Type | Individual |
| Full Name | DR. DIJANA KASUMOVIC |
| Other Name | DR. DIJANA KELJALIC |
| Credential | PHARMD |
| Practice Address |
4402 Vernon Ave Brookfield IL 60513-2414 |
| Practice Telephone | (224) 406-3161 |
| Mailing Telephone | 2244063161 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.300300 | IL | Pharmacy Service Providers |
| Street Address |
4402 VERNON AVE |
| City | BROOKFIELD |
| State | IL |
| Zip Code | 60513-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801318712 | Filip Maksimovic | Physical Therapy Assistant | 4329 Forest Ave, Brookfield, IL 60513 | 2017-07-12 |
| 1649666439 | Little Sprouts Pediatric Therapy Services, Inc | Occupational Therapist | 4324 Blanchan Ave., Brookefield, IL 60513 | 2015-04-08 |
| 1043411945 | School District 95 | Local Education Agency (LEA) | 2524 Maple Avenue, Brookfield, IL 60513 | 2007-05-29 |
| 1306972112 | George Tomecki | Family Medicine | 8905 Burlington Ave, Brookfield, IL 60513 | 2007-02-26 |
| 1316036486 | Community Support Services | Social Worker | 9021 Ogden Avenue, Brookfield, IL 60513 | 2006-10-12 |
| 1255425476 | Daniel J Lehenbauer | Dentist | 9224 Broadway, Brookfield, IL 60513 | 2006-10-03 |
| 1669574513 | Todd C Martin | Dentist | 9435 W. Ogden Ave, Brookfield, IL 60513 | 2006-09-02 |
| 1316988397 | Ehtesham J Ghani | Internal Medicine | 9223 Ogden Avenue, Brookfield, IL 60513 | 2006-06-09 |
| 1518302595 | Brook Park Medical Associates S C | Internal Medicine | 3101 Maple Ave, Brookfield, IL 60513 | 2013-05-06 |
| 1508076225 | Ehtesham J Ghani Md Sc | Internal Medicine | 9223 Ogden Avenue, Brookfield, IL 60513 | 2007-05-23 |
| Find all providers in zip 60513 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790296119 | Steven Paul Hoehn | Pharmacist | 150 N Patrick Blvd Ste 250, Brookfield, WI 53045-5854 | 2017-10-12 |
| 1487085189 | Gail Schultz | Pharmacist | 13175 W Bluemound Rd, Brookfield, WI 53005-8047 | 2013-12-05 |
| 1740533793 | Thomas L Hofbauer | Pharmacist | 18400 Kestrel Trl, Brookfield, WI 53045-6654 | 2012-10-16 |
| 1548531189 | Jamie Yanchar | Pharmacist | 15640 W Capitol Dr, Brookfield, WI 53005-2221 | 2012-01-12 |
| 1275801193 | Thomas Gerald Pire | Pharmacist | 18585 Woodberry Ct, Brookfield, WI 53045-4284 | 2011-12-06 |
| 1215204904 | Gary Alan Svehlek | Pharmacist | 18335 Milwaukee Ave, Brookfield, WI 53045-3462 | 2011-11-22 |
| 1639454341 | James Anthony Augustine | Pharmacist | 15738 Capitol Dr, Brookfield, WI 53005 | 2011-10-13 |
| 1497039093 | Yuni K Yi | Pharmacist | 2815 Cambridge Cir, Brookfield, WI 53045-3230 | 2011-10-01 |
| 1952618472 | Fanny Miufun Chiang | Pharmacist | 215 Federal Rd, Brookfield, CT 06804-2630 | 2010-09-03 |
| 1407456726 | Christopher Michael Waugh | Pharmacist | 937 Park Circle Dr, Brookfield, MO 64628-7920 | 2020-10-27 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 60513 |
Please comment or provide details below to improve the information on DR. DIJANA KASUMOVIC.
| 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.