Aleksandra Ivanovic, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-110292 Issued in IL

Practice address

4640 N Marine Dr
Suite 6100C
Chicago, IL 60640-5719

Phone

(773) 769-4411

Fax

(773) 769-5140

NPI assigned

Aug 23, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeshorehealthcare

  • Group Psychotherapy Psychologist
  • Chicago, IL
  • NPI 1881643906
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477546711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 W SUNNYSIDE AVE",
            "address_2": "APARTMENT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 N MARINE DR",
            "address_2": "SUITE 6100C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405719",
            "telephone_number": "773-769-4411",
            "fax_number": "773-769-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANOVIC",
        "first_name": "ALEKSANDRA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-110292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rada Ivanov, M.D.
• Diyana Ivanova, OD
• Euginia Ivanova, MSW, CADC
• Gergana Ivanova
• Maria Ivanova, APRN
• Katarina Ivanovic
• Maja Ivanovic, MD
• Kaitlin Iversen, PT, DPT
• Amanda Jean Iverson
• Andrea Iverson

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.