Sreckovic, George Ilija
Sreckovic, George Ilija is an individual health care provider with primary practice located at 15300 West Ave Suite 314 West, Orland Park IL 60462-4600. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sreckovic, George Ilija can be contacted via phone (708) 364-7882.Contact Information
Primary practice address
15300 West Ave Suite 314 West
Orland Park IL 60462-4600
Phone: (708) 364-7882
Fax: (708) 364-7886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036095069 | Illinois |
Profile Details
| NPI number | 1629067038 |
|---|---|
| LBN Legal business name | Sreckovic, George Ilija |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Dec 26th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629067038 | NPPES |
| Illinois | MEDICAID | 036095069 | |
| Illinois | Other | 02232706 | |
| Illinois | Other | P00211777 | |
| Illinois | Other | 5997533 | |
| Illinois | Other | K16749 |
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