George Ilija Sreckovic in Chicago Ridge - Specialist
George Ilija Sreckovic - NPI 1629067038
George Ilija Sreckovic is a Specialist in Chicago Ridge, Illinois. George Ilija Sreckovic practices all healthcare services and medical treatments related to Specialist. The NPI Number for George Ilija Sreckovic is 1629067038. The last update date is 2010-02-17.
George Ilija Sreckovic's current location address is 10400 Southwest Hwy, Chicago Ridge, Illinois. You can contact this provider via phone number 7085817308 and fax number 7082744027. The mailing address for George Ilija Sreckovic is 10400 Southwest Hwy, Chicago Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Ilija Sreckovic |
|---|---|
| Address | 10400 Southwest Hwy, Chicago Ridge, Illinois |
| Phone Number | 7085817308 |
| Fax Number | 7082744027 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629067038 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2010-02-17 |
Provider Mailing Address Detail
| Address | 10400 Southwest Hwy |
|---|---|
| City | Chicago Ridge |
| State | Illinois (IL) |
| Post Code | 604151367 |
| Phone Number | 7085817308 |
| Fax Number | 7082744027 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36095069 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2232706 | IL | BC BS | |
| K16749 | IL | MEDICARE PIN NUMBER | |
| 36095069 | IL | -- | |
| 5997533 | IL | AETNA | |
| P00211777 | IL | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to George Ilija Sreckovic?
The George Ilija Sreckovic has been issued the NPI (National Provider Identifier) 1629067038 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of George Ilija Sreckovic?
The George Ilija Sreckovic is situated at 10400 Southwest Hwy, in the city of Chicago Ridge, state of IL, with the zip code 604151367.
What is George Ilija Sreckovic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for George Ilija Sreckovic is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629067038 to George Ilija Sreckovic?
The Centers for Medicare & Medicaid Services originally issued the 1629067038 to George Ilija Sreckovic on 2005-10-18.
When was the information regarding George Ilija Sreckovic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to George Ilija Sreckovic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-02-17.
NPI Number: 1770586281
Address: 7100 E Lincoln Dr, Scottsdale, AZ
NPI Number: 1871596270
Address: 123 W Torrance Blvd, Redondo Beach, CA