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Organization
TOMISLAV DUKIC MD SC
Active
Organization
TOMISLAV DUKIC MD SC
Active
Parent organization
TOMISLAV DUKIC, M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOMISLAV DUKIC, M.D.
Authorized official
TOMISLAV DUKIC M.D. (HEALTH CARE PROVIDER)
(773) 725-2322
Entity
Organization
Contact information
Practice address
5958 WEST LAWRENCE AVE, SUITE 101, CHICAGO, IL 60630-3130
(773) 725-2322
(773) 725-2322
Mailing address
5958 WEST LAWRENCE AVE, SUITE 101, CHICAGO, IL 60630-3130
(773) 725-2322
(773) 725-2322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03604894G
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048946
—
IL
Enumeration date
07/13/2010
Last updated
09/22/2010
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