Doctor Name: | DR. ALEXANDAR JOVANOVICH |
NPI Number: | 1588959662 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 2050 Pfingsten Rd Suite 200 Glenview, IL - 600261324 |
Business Phone Number: | 8476571840 |
Business Fax Number: | 8476571823 |
Mailing Address: | 1700 Robin Ln, GLENVIEW |
State: | IL |
Postal Code: | 600251255 |
Phone Number: | 8477572376 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2011 |
NPI Last Update Date: | 07/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |