| Tomislav Dukic Md Sc | |
|
5958 West Lawrence Ave Suite 101 Chicago IL 60630-3130 | |
| (773) 725-2322 | |
| (773) 725-2322 |
| Full Name | Tomislav Dukic Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5958 West Lawrence Ave, Chicago, Illinois |
| Authorized Official Name and Position | Tomislav Dukic (HEALTH CARE PROVIDER) |
| Authorized Official Contact | 7737252322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tomislav Dukic Md Sc 5958 West Lawrence Ave Suite 101 Chicago IL 60630-3130 Ph: (773) 725-2322 | Tomislav Dukic Md Sc 5958 West Lawrence Ave Suite 101 Chicago IL 60630-3130 Ph: (773) 725-2322 |
| NPI Number | 1427360916 |
|---|---|
| Provider Enumeration Date | 07/13/2010 |
| Last Update Date | 09/22/2010 |
| Medicare PECOS PAC ID | 1951426451 |
|---|---|
| Medicare Enrollment ID | O20100920001161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427360916 | NPI | - | NPPES |
| 036048946 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 03604894G (Illinois) | Primary |
| Provider Name | Tomislav Dukic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053409706 PECOS PAC ID: 5496947673 Enrollment ID: I20101006000508 |
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