Organization · Type 2 NPI
Nikola Ivancevic DPM PC
Foot Surgery Podiatrist · Elmhurst, IL
NPI number
1013191287
Active
Practice location
135 S Palmer Dr, Suite 105
Elmhurst, IL 60126-3403
Fax (630) 782-6559
Mailing address
1630 Victoria Ave
Berkeley, IL 60163-1467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 016-004831 (IL) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1013191287
Nikola Ivancevic DPM PC's National Provider Identifier is 1013191287, issued on Dec 24, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Elmhurst, IL. The record was last updated on Apr 22, 2008.