Active NPI
Radmila Stevanovic, DDS
- Dentist
- Oak Park, IL
National Provider Identifier
1003595133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.034515
- Practice address
- 1 Chicago Ave
Oak Park, IL 60302-2432 - Phone
- (708) 948-7744
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901602842 | MI | |
| Dentist | 122300000X | 019.034515 | IL | Primary |
Addresses
Primary practice location
1 Chicago Ave
Oak Park, IL 60302-2432
Mailing address
4 Elm Creek Dr Apt 309
Elmhurst, IL 60126-5286
Phone (901) 277-3905
Other practice location 1
712 E 87th St
Chicago, IL 60619-6246
Phone (773) 783-9000
Other practice location 2
2279 N Park Dr
Holland, MI 49424-8547
Phone (616) 392-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240212002265 | IL | Order and Referring Only - Dentist | 1254774797 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.034515 | IL | MD | Dentist |
| 2901602842 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Dental Il - Chad Wise PC | Dentist | Current | Accepting new patients |
| D2 Dental of Lansing, P.C. | Past | Accepting new patients | |
| Smiling Dental International P.C. | Dentist | Past | Accepting new patients |
Networks
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IL HMO C-SNP
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Oak Park, IL
- NPI 1710714233
-
- General Practice Dentistry
- Oak Park, IL
- NPI 1891259768
-
- Dentist
- Chicago, IL
- NPI 1487232872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1003595133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ELM CREEK DR APT 309",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265286",
"telephone_number": "901-277-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHICAGO AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022432",
"telephone_number": "708-948-7744"
}
],
"practiceLocations": [
{
"address_1": "712 E 87th St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606196246",
"country_code": "US",
"telephone_number": "773-783-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2279 N Park Dr",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "MI",
"postal_code": "494248547",
"country_code": "US",
"telephone_number": "616-392-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVANOVIC",
"first_name": "RADMILA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901602842",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.034515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.