Dragomir Jovanovic, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-095897 Issued in IL

Practice address

4201 W 95TH St
Oak Lawn, IL 60453-2615

Phone

(708) 636-1466

Fax

(708) 636-0264

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1063518108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532615",
            "telephone_number": "708-636-1466",
            "fax_number": "708-636-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532615",
            "telephone_number": "708-636-1466",
            "fax_number": "708-636-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVANOVIC",
        "first_name": "DRAGOMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-095897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01636324",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00446917",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie M Joseph, M.D.
• Thomas Joseph, MD
• Anjali Anil Joshi, M.D.
• Devang Jitendra Joshi, M.D.
• Prashant Kumar Joshi, M.D.
• Cynthia Ann Joyce, PTA
• Lubna Judeh
• Cheryl Ann Jurkacek
• Jenna T Jurkovic, DO
• Eva Juszczyk, PA-C

• Family Medicine Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.