Individual
DR. SANJA NIKOLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-6523
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036084811
IL
2086S0102X
Surgical Critical Care Physician
Primary
036084811
IL
2086S0127X
Trauma Surgery Physician
036084811
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084811
—
IL
05
—
100326073
—
WI
Enumeration date
07/08/2006
Last updated
11/12/2025
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