Dejan Maksimovic in Peoria - Family Medicine
Dejan Maksimovic - NPI 1891992269
Dejan Maksimovic is a Family Medicine in Peoria, Illinois. Dejan Maksimovic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dejan Maksimovic is 1891992269. The last update date is 2014-10-06.
Dejan Maksimovic's current location address is 5114 N Glen Park Place Rd, Peoria, Illinois. You can contact this provider via phone number 3096552431 and fax number 3096832412. The mailing address for Dejan Maksimovic is 5114 N Glen Park Place Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dejan Maksimovic |
|---|---|
| Address | 5114 N Glen Park Place Rd, Peoria, Illinois |
| Phone Number | 3096552431 |
| Fax Number | 3096832412 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1891992269 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2014-10-06 |
Provider Mailing Address Detail
| Address | 5114 N Glen Park Place Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144686 |
| Phone Number | 3096552431 |
| Fax Number | 3096832412 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 56981 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 809840 | IL | MEDICARE GROUP PTAN | |
| 809840038 | IL | MEDICARE INDIVIDUAL PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dejan Maksimovic by the Centers for Medicare & Medicaid Services?
The Dejan Maksimovic has been issued the NPI (National Provider Identifier) 1891992269, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dejan Maksimovic located?
The Dejan Maksimovic is located at 5114 N Glen Park Place Rd, Peoria, IL 616144686.
What is Dejan Maksimovic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dejan Maksimovic's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did Dejan Maksimovic receive its 1891992269 assignment from the Centers for Medicare & Medicaid Services?
The Dejan Maksimovic was assigned its 1891992269 on 2007-06-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Dejan Maksimovic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dejan Maksimovic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-10-06.
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