Milan Mitrovic is a Clinical in Great Lakes, Illinois. Milan Mitrovic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Milan Mitrovic is 1992796445. The last update date is 2007-07-08.
Milan Mitrovic's current location address is 3001 6th St, Great Lakes, Illinois. You can contact this provider via phone number 8476882190 and fax number 8476883241. The mailing address for Milan Mitrovic is 3001 6th St, Great Lakes, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Milan Mitrovic |
|---|---|
| Address | 3001 6th St, Great Lakes, Illinois |
| Phone Number | 8476882190 |
| Fax Number | 8476883241 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1992796445 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3001 6th St |
|---|---|
| City | Great Lakes |
| State | Illinois (IL) |
| Post Code | 600882833 |
| Phone Number | 8476882190 |
| Fax Number | 8476883241 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Milan Mitrovic by the Centers for Medicare & Medicaid Services?
The Milan Mitrovic has been issued the NPI (National Provider Identifier) 1992796445, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Milan Mitrovic?
The Milan Mitrovic is situated at 3001 6Th St, in the city of Great Lakes, state of IL, with the zip code 600882833.
What is Milan Mitrovic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Milan Mitrovic is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Milan Mitrovic receive the assignment of its 1992796445 from the Centers for Medicare & Medicaid Services?
The Milan Mitrovic was issued its 1992796445 by the Centers for Medicare & Medicaid Services on 2005-11-03.
As of what date was the information regarding Milan Mitrovic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Milan Mitrovic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.