person
Dr. Nikola Ivancevic, DPM
Foot Surgery Podiatrist in Berkeley, Illinois
NPI 1972685410

Nikola Ivancevic is a Foot Surgery Podiatrist based in Berkeley, IL and is specialized in Foot Surgery. Nikola Ivancevic practices in Berkeley, IL and has the professional credentials of DPM. The NPI Number for Nikola Ivancevic is 1972685410 and holds a License No. 016-004831 (Illinois).

The current practice location address for Nikola Ivancevic is 5646 St Charles Rd, Berkeley, IL and can be reached out via phone at 630-782-6557 and via fax at 630-782-6559.

Location: 5646 St Charles Rd, Berkeley, IL, 60163
person
Provider Profile Details
NPI Number
1972685410
Provider Name
Nikola Ivancevic
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
5646 St Charles Rd, Berkeley, IL, 60163
Phone Number
630-782-6557
Fax Number
630-782-6559
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016-004831 05 IL
institution
Provider Business Practice Location Address Details
Address
5646 St Charles Rd
City
State
Zip
60163
Phone Number
630-782-6557
Fax Number
630-782-6559
person
Provider Business Mailing Address Details
Address
5646 St Charles Rd
City
State
Zip
60163
Phone Number
630-782-6557
Fax Number
630-782-6559
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
016-004831 (Illinois)
Definition
Definition to come...
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