Individual
TOMISLAV LAKIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 S MAJOR ST, EUREKA, IL 61530-1246
(309) 304-2100
Mailing address
101 S MAJOR ST, EUREKA, IL 61530-1246
(309) 304-2100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01069428A
IN
207P00000X
Emergency Medicine Physician
Primary
36110508
IL
207P00000X
Emergency Medicine Physician
45871
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110508
—
IL
Enumeration date
01/14/2006
Last updated
10/29/2025
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