Nikola Ivancevic Dpm Pc

NPI 1013191287 - Podiatrist - 213ES0131X

NPI Details
NPI 1013191287
Enumeration Date 12/24/2007
Last Updated 04/22/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name NIKOLA NIKOLA
Position PODIATRIST
Phone (630) 782-6557
Fax (630) 782-6559
Practice Location
135 S PALMER DR
SUITE 105
ELMHURST IL, 60126-3403, US
Phone (630) 782-6557
Fax (630) 782-6559
Business Location
1630 VICTORIA AVE
BERKELEY IL, 60163-1467, US
Phone (630) 782-6557
Fax (630) 782-6559
Toxanomy
Taxonomy Code 213ES0131X
License State Illinois
License Number 016-004831
Remove 1013191287 NPI Number
 

According to our database, Nikola Ivancevic Dpm Pc NPI is 1013191287, taxonomy code is 213ES0131X and license number is 016-004831, license state is located at Illinois. Nikola Ivancevic Dpm Pc physically located at 135 S Palmer Dr, Elmhurst IL, 60126-3403. NPI Number 1033115704 has the healthcare provider type.

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1013191287 NPI number is provided on an as is basis without warranty of any kind. 1013191287 is maintained by the National Plan & Provider Enumeration System. The contents of Nikola Ivancevic Dpm Pc are for informational purposes only.