Ilic, Ljubomir M.

Ilic, Ljubomir M. is an individual health care provider with primary practice located at 550 S Landmark Ave , Bloomington IN 47403-3239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Ilic, Ljubomir M. can be contacted via phone (812) 676-4660.

Contact Information

Primary practice address
550 S Landmark Ave Bloomington IN 47403-3239
Phone: (812) 676-4660
Fax: (812) 676-4501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME133258 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME133258 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01084851A Indiana

Profile Details

NPI number 1750348843
LBN Legal business name Ilic, Ljubomir M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 29th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750348843 NPPES
Massachusetts MEDICAID 2128438

Popular Providers