| Marija Novakovich, OD | |
|
700 E Ogden Ave, Westmont, IL 60559-5569 | |
| (630) 323-7300 | |
| Not Available |
| Full Name | Marija Novakovich |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 700 E Ogden Ave, Westmont, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689394884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046011811 (Illinois) | Primary |
| Provider Name | Southern College Of Optometry |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851384986 PECOS PAC ID: 4587550454 Enrollment ID: O20040226000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Marija Novakovich, OD 700 E Ogden Ave, Westmont, IL 60559-5569 Ph: (630) 323-7300 | Marija Novakovich, OD 700 E Ogden Ave, Westmont, IL 60559-5569 Ph: (630) 323-7300 |
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