Individual
DRAGOMIR JOVANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 W 95TH ST, OAK LAWN, IL 60453-2615
(708) 636-1466
(708) 636-0264
Mailing address
4201 W 95TH ST, OAK LAWN, IL 60453-2615
(708) 636-1466
(708) 636-0264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-095897
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636324
BCBS
IL
01
—
P00446917
RAILROAD MEDICARE
IL
Enumeration date
09/16/2006
Last updated
05/29/2008
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