Individual
IVANA GOLUBOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4806
(815) 759-4867
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4806
(815) 759-4867
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036092868
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360928683
—
IL
01
—
220033631
RAILROAD MEDICARE
IL
Enumeration date
07/04/2006
Last updated
08/27/2021
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