Davor Vasiljevic

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070021829 Issued in IL

Practice address

2320 N Damen Ave
# 1R
Chicago, IL 60647-3359

Phone

(773) 802-3229

NPI assigned

Sep 7, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ground Up Rehab PLLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1558143727
  Medicare reassignment NPD Authorized official
• Midwest Orthopaedics at Rush, LLC

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1811942451
  Medicare reassignment NPD
• Orthomidwest, PLLC

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1730136474

  Physical Therapist

  Medicare reassignment NPD
• Midwest Orthopaedics at Rush LLC

  • Durable Medical Equipment & Medical Supplies
  • Orland Park, IL
  • NPI 1134871908
  NPD
• Orthomidwest, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Buffalo Grove, IL
  • NPI 1043180839
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547337600000",
    "number": "1013464098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W LAWRENCE AVE APT 422",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 N DAMEN AVE",
            "address_2": "# 1R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473359",
            "telephone_number": "773-802-3229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 W Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405053",
            "country_code": "US",
            "telephone_number": "773-802-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASILJEVIC",
        "first_name": "DAVOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2019-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carson I Vasile, BS IN PSYCHOLOGY
• Diane Vasilevich, MS, CCC/SLP
• Anna Vasilevskaya
• Erin Vasiliadis
• Olena Vasilik, LPC
• Sarah Marie Vasilopoulos, RD
• Alexandra Mieko Vasilou, LPC
• Kritos Vasiloudes, MD
• Sanjana Vasisht, MS
• Raj Vasnani, M.D.

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.