Organization Active NPI

Tomislav Dukic MD SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1427360916
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
03604894G Issued in IL
Legal business name
TOMISLAV DUKIC MD SC
Practice address
5958 West Lawrence Ave
Suite 101
Chicago, IL 60630-3130
Phone
(773) 725-2322
Fax
(773) 725-2322
NPI assigned
Jul 13, 2010
Organization subpart
Yes
Parent organization
TOMISLAV DUKIC, M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Tomislav Dukic, M.D.
Title
Health Care Provider
Phone
(773) 725-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 03604894G IL Primary

Addresses

Primary practice location

5958 West Lawrence Ave
Suite 101
Chicago, IL 60630-3130

Mailing address

5958 West Lawrence Ave
Suite 101
Chicago, IL 60630-3130
Phone (773) 725-2322

Other identifiers 1

IdentifierTypeStateIssuer
036048946MedicaidIL

National Provider Directory

National Provider Directory
Part of
Tomislav Dukic MD SC

Locations

5958 W Lawrence Ave
Ste 101
Chicago, IL 60630
Phone (773) 725-2322

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1427360916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 WEST LAWRENCE AVE",
            "address_2": "SUITE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303130",
            "telephone_number": "773-725-2322",
            "fax_number": "773-725-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 WEST LAWRENCE AVE",
            "address_2": "SUITE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303130",
            "telephone_number": "773-725-2322",
            "fax_number": "773-725-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMISLAV DUKIC MD SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOMISLAV DUKIC, M.D.",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "DUKIC",
        "authorized_official_first_name": "TOMISLAV",
        "authorized_official_title_or_position": "HEALTH CARE PROVIDER",
        "authorized_official_telephone_number": "773-725-2322",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "03604894G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048946",
            "state": "IL"
        }
    ],
    "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 Sep 22, 2010; 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.