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Organization
MD CARE CENTER SC
Active
Organization
MD CARE CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILENKO LAZAREVIC MD (MD)
(773) 878-6550
Entity
Organization
Contact information
Practice address
2740 W. FOSTER, SUITE 205, CHICAGO, IL 60625
(773) 878-6550
(773) 878-6557
Mailing address
6533 N. TRUMBULL AVENUE, LINCOLNWOOD, IL 60712-3834
(773) 878-6550
(773) 878-6557
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036095635
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360956635
—
IL
Enumeration date
08/08/2007
Last updated
07/16/2008
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