GORDANA IVANOVIC (NPI# 1043285174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043285174 |
| Entity Type | Individual |
| Full Name | GORDANA IVANOVIC |
| Credential | MD |
| Practice Address |
7319 W North Ave River Forest IL 60305 |
| Practice Telephone | 7084880300 |
| Practice Fax Number | 7088482931 |
| Mailing Telephone | 7084880300 |
| Mailing Fax Number | 7088482931 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | IL | Allopathic & Osteopathic Physicians | |
| X | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC INDIVIDUAL | 01632911 | 01 |
| Street Address |
7319 W NORTH AVE |
| City | RIVER FOREST |
| State | IL |
| Zip Code | 60305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063969004 | Logan N Nierzwicki | Physical Therapist | 7341 A Lake St, River Forest, IL 60305 | 2016-09-07 |
| 1427442292 | Gina Patel | Physical Therapist | 7341a Lake St, River Forest, IL 60305 | 2015-03-19 |
| 1316369630 | Kristin Burns | Social Worker | 1115 Thatcher Ave, River Forest, IL 60305 | 2014-01-07 |
| 1508102823 | Elizabeth Ralyea | Nurse Practitioner | 7251 W Lake Street, River Forest, IL 60305 | 2012-12-13 |
| 1194009175 | Mani Chhibba | Optometrist | 7345 West Lake Street, River Forest, IL 60305 | 2011-10-07 |
| 1508069212 | Fatima Ali Hyder | Internal Medicine | 7343 Lake St, River Forest, IL 60305 | 2007-06-08 |
| 1932314069 | Karen Vanslyck Darley | Dentist | 340 Lathryn Ave, River Forest, IL 60305 | 2007-05-11 |
| 1083836571 | Lucelita Abad Duffy | Physical Therapist | 7411 Lake Street, Rehabilitation & Sports Medicine West Suburban Resurrec, River Forest, IL 60305 | 2007-05-03 |
| 1457484669 | Michelle Annette Melyn | Psychiatry & Neurology | 7777 West Lake St, River Forest, IL 60305 | 2007-03-14 |
| 1588797757 | Marie T Walsh | Dentist | 7765 W. North Ave., River Forest, IL 60305 | 2007-03-14 |
| Find all providers in zip 60305 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013286491 | Henry Joseph Ruder | Internal Medicine | 411 Lathrop Ave Unit 3e, River Forest, IL 60305-1894 | 2011-12-14 |
| 1508069212 | Fatima Ali Hyder | Internal Medicine | 7343 Lake St, River Forest, IL 60305 | 2007-06-08 |
| 1023192671 | William J Sarantos | Internal Medicine | 7353 North Ave, River Forest, IL 60305-1278 | 2006-10-24 |
| 1710900980 | Howard Levinsky | Internal Medicine | 931 Bonnie Brae Pl, River Forest, IL 60305-1511 | 2006-07-26 |
| 1205858131 | S.s. Shroff, M.d.,s.c. | Internal Medicine | 7355 North Ave, River Forest, IL 60305-1230 | 2006-07-23 |
| 1831114560 | Dhana L Ganesan | Internal Medicine | 7357 North Ave, River Forest, IL 60305-1230 | 2006-07-13 |
| 1760412746 | Pamela M Mulshine | Internal Medicine | 907 Franklin Ave, River Forest, IL 60305-1337 | 2006-07-04 |
| 1447288287 | Don J Williams | Internal Medicine | 7355 W. North Ave, River Forest, IL 60305 | 2006-06-29 |
| 1831148808 | Terrie Lynn Weir | Internal Medicine | 7605 1/2 North Ave, River Forest, IL 60305-1133 | 2006-05-08 |
| 1942203500 | Raymond J Mcdonald | Internal Medicine | 534 Jackson Ave, River Forest, IL 60305-1804 | 2005-05-27 |
| Find all providers in RIVER FOREST | ||||
| City | RIVER FOREST |
| Zip Code | 60305 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.