IVANA GOLUBOVICH (NPI# 1811927775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811927775 |
| Entity Type | Individual |
| Full Name | IVANA GOLUBOVICH |
| Credential | M.D. |
| Practice Address |
3 Erie Ct Oak Park IL 60302-2519 |
| Mailing Address |
Po Box 5965 Carol Stream IL 60197-5965 |
| Practice Telephone | 7087636947 |
| Mailing Telephone | 8778619294 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2011-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
036092868 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | 220033631 | 01 |
| IL | 0360928683 | 05 |
| Street Address |
3 ERIE CT |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876077 | Paula B Green | Emergency Medicine | 3 Erie Ct, Oak Park, IL 60302-2519 | 2005-07-28 |
| 1558987883 | Encore Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | 3 Erie Ct, Oak Park, IL 60302-2519 | 2020-06-23 |
| 1003475294 | Karen Ann B Denkov | Nurse Practitioner | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-06-11 |
| 1962067165 | Alteon Health Illinois, Pllc | Emergency Medicine | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-05-03 |
| 1013477926 | Charles Kersten | Student in an Organized Health Care Education/Training Program | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-03-25 |
| 1003374141 | Allison Byrne | Student in an Organized Health Care Education/Training Program | 3 Erie Ct, Oak Park, IL 60302 | 2019-03-07 |
| 1740744895 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-23 |
| 1932672391 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 3 Erie Ct, Oak Park, IL 60302-2519 | 2019-01-09 |
| 1255807277 | Pipeline-west Suburban Medical Center, LLC | Psychiatric Unit | 3 Erie Ct, Oak Park, IL 60302-2519 | 2018-10-17 |
| 1538635545 | Pipeline-west Suburban Medical Center, LLC | Skilled Nursing Facility | 3 Erie Ct, Oak Park, IL 60302-2519 | 2018-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841220704 | Polina Zaytsev | Pathology | 3 Erie Ct, Oak Park, IL 60302-2519 | 2006-07-04 |
| 1043247372 | Heidi Asbury | Pathology | 3 Erie Ct, Oak Park, IL 60302-2519 | 2006-06-26 |
| 1114954401 | West Side Pathology Associates, P.C. | Pathology | 3 Erie Ct, Oak Park, IL 60302-2519 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930145 | Uttamjot Kaur | Pathology | 2650 Ridege Avenue, Evanston Hospital, Chicago, IL 60613-6061 | 2020-10-21 |
| 1770131831 | Reditus Laboratories | Pathology | 1805 Riverway Dr, Pekin, IL 61554-9309 | 2019-08-30 |
| 1679137756 | Hans-magne Hansen Hamnvag | Pathology | 2460 S 1st Avenue Loyola University Medical Center, Maywood, IL 60153-3328 | 2019-04-24 |
| 1497229157 | Almasri Medical LLC | Pathology | 8150 185th St Ste A, Tinley Park, IL 60487-9319 | 2019-01-16 |
| 1689188062 | Karina Colossi Furlan | Pathology | 1750 W Harrison St Fl 5, Chicago, IL 60612-3825 | 2017-11-21 |
| 1245753961 | Ayse Irem Kilic | Pathology | 2160 South First Ave., Maywood, IL 60153-3328 | 2017-07-25 |
| 1073967162 | Lucy Fu | Pathology | 303 East Chicago Avenue Ward 3-140 W127, Chicago, IL 60611-1059 | 2016-04-14 |
| 1679930457 | Lindsay Alpert | Pathology | 150 Harvester Drive, Suite 300, Burr Ridge, IL 60527-6686 | 2016-01-25 |
| 1831573898 | Indu Agarwal | Pathology | 2100 Valencia Dr, #314b, Northbrook, IL 60062-7063 | 2015-07-18 |
| 1053790113 | Lisa Han | Pathology | 5841 S. Maryland Ave., Rm. S323, Mc 3083, Chicago, IL 60637-1470 | 2015-05-22 |
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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.