Marina Vidovic is a Specialist in Chicago, Illinois. Marina Vidovic practices all healthcare services and medical treatments related to Specialist. The NPI Number for Marina Vidovic is 1063504579. The last update date is 2007-07-08.
Marina Vidovic's current location address is 1945 W Wilson Ave, Chicago, Illinois. You can contact this provider via phone number 7737694600 and fax number 7737690024. The mailing address for Marina Vidovic is 1945 W Wilson Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marina Vidovic |
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Address | 1945 W Wilson Ave, Chicago, Illinois |
Phone Number | 7737694600 |
Fax Number | 7737690024 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1063504579 |
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Provider Enumeration Date | 2006-09-29 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1945 W Wilson Ave |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606405255 |
Phone Number | 7737694600 |
Fax Number | 7737690024 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
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. |
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What is the unique identifier code issued to Marina Vidovic by the Centers for Medicare & Medicaid Services?
The Marina Vidovic has been assigned the NPI (National Provider Identifier) 1063504579. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Marina Vidovic?
The Marina Vidovic is physically situated at 1945 W Wilson Ave, in the city of Chicago, state of IL, with the postal code 606405255.
What is Marina Vidovic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marina Vidovic's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When was the Marina Vidovic's 1063504579 issued?
The Marina Vidovic's 1063504579 was issued on 2006-09-29.
As of what date were the details related to Marina Vidovic most recently updated or revised?
The information pertaining to Marina Vidovic, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.