Individual
DR. RANKO MIOCINOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 S HIGHLAND AVE STE 220, LOMBARD, IL 60148-4932
(630) 790-1221
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036137902
IL
208800000X
Urology Physician
35.094165
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036137902
—
IL
Enumeration date
07/24/2008
Last updated
08/16/2023
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