Individual provider Active NPI

Dario Hadzovic

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1164140968
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178016012 Issued in IL
Practice address
2448 W Balmoral Ave Apt 3
Chicago, IL 60625-7907
Phone
(312) 383-9007
NPI assigned
Aug 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178016012 IL Primary

Addresses

Primary practice location

2448 W Balmoral Ave Apt 3
Chicago, IL 60625-7907

Mailing address

2448 W Balmoral Ave Apt 3
Chicago, IL 60625-7907
Phone (312) 383-9007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178016012ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1164140968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 W BALMORAL AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257907",
            "telephone_number": "312-383-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 W BALMORAL AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257907",
            "telephone_number": "312-383-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADZOVIC",
        "first_name": "DARIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178016012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.