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Individual

GEORGE ILIJA SRECKOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10400 SOUTHWEST HWY, LL, CHICAGO RIDGE, IL 60415-1367
(708) 888-8287
(708) 274-4027
Mailing address
10400 SOUTHWEST HWY, LL, CHICAGO RIDGE, IL 60415-1367
(708) 888-8287
(708) 274-4027

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036095069
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02232706
BC BS
IL
05
036095069
IL
01
5997533
AETNA
IL
01
K16749
MEDICARE PIN NUMBER
IL
01
P00211777
RR MEDICARE
IL
Enumeration date
10/18/2005
Last updated
04/16/2025
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