DEJANA RADULOVIC


Address: 676 North St.clair, 800, Chicago, IL 60611
Phone: 3126953755

DEJANA RADULOVIC (NPI# 1700042363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700042363
Entity Type Individual
Full Name DEJANA RADULOVIC
Practice Address 676 North St.clair
800
Chicago
IL 60611
Mailing Address 333 E Ontario St
2501b
Chicago
IL 60611-4804
Practice Telephone 3126953755
Practice Fax Number 3126955645
Enumeration Date 2008-08-04
Last Update Date 2008-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085B0100X Radiology
Specialization: Body Imaging
036120313 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 676 NORTH ST.CLAIR
800
City CHICAGO
State IL
Zip Code 60611

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1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
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Taxonomy Information

Taxonomy Code 2085B0100X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Body Imaging

Taxonomy Definition

A Radiology doctor of Osteopathy that specializes in Body Imaging.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306000542 Stephanie Shors Radiology 1725 W Harrison St Ste 456, Chicago, IL 60612-3866 2008-07-16
1063435923 Jorge Delatorre Radiology 3058 N Austin Ave, Chicago, IL 60634-5126 2006-07-25
1174565774 Ana Stipisic Radiology 2233 W Division, Chicago, IL 60622 2006-06-11
1528008539 Ejaz Rahimchaudhry Radiology 2900 W Peterson Ave, Suite 11, Chicago, IL 60659-3818 2006-06-07
1194358200 Ming Lun Chiu Radiology 251 E Huron St, Chicago, IL 60611-2908 2020-02-17
1841752896 Xiao Zhou Du Radiology 251 E Huron St, Chicago, IL 60611-3055 2019-04-01
1295179448 Przemyslaw Ignaciuk Radiology 820 S Damen Ave, Chicago, IL 60612-3728 2013-04-18
1164740874 Caroline Kato Radiology 1901 W Harrison St, Rm 2533, Chicago, IL 60612-3714 2010-05-06
1467778134 David V. Schacht Radiology 5841 S Maryland Ave, P220/mc2026, Chicago, IL 60637-1447 2010-04-20
1437312477 Melvy Sarah Mathew Radiology 5841 S Maryland Ave, Chicago, IL 60637-1447 2008-07-09
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City CHICAGO
Zip Code 60611

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Dataset Information

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.

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