Organization
SLOBODAN D. VUCICEVIC,MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SLOBODAN D VUCICEVIC M.D. (PRESIDENT)
(708) 749-0117
Entity
Organization
Contact information
Practice address
3825 HIGHLAND AVE, SUITE 3C, DOWNERS GROVE, IL 60515-1552
(708) 749-0117
(708) 749-8593
Mailing address
3501 S HARLEM AVE, BERWYN, IL 60402-3263
(708) 749-0117
(708) 749-8593
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2221384
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
08/28/2007
Last updated
04/20/2008
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