Organization
DRAGAN IVKOVIC MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DRAGAN IVKOVIC M.D. (PRESIDENT)
(708) 681-7332
Entity
Organization
Contact information
Practice address
675 W NORTH AVE, SUITE 508, MELROSE PARK, IL 60160-1634
(708) 681-7332
(708) 681-7698
Mailing address
675 W NORTH AVE, SUITE 508, MELROSE PARK, IL 60160-1634
(708) 681-7332
(708) 681-7698
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-054830
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-054830
—
IL
Enumeration date
09/25/2006
Last updated
09/24/2010
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