MD Care Center SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036095635 Issued in IL

Legal business name

MD CARE CENTER SC

Practice address

2740 W. Foster
Suite 205
Chicago, IL 60625

Phone

(773) 878-6550

Fax

(773) 878-6557

NPI assigned

Aug 8, 2007

Last updated

Jul 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Milenko Lazarevic, MD

Title

MD

Phone

(773) 878-6550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1518158138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 N. TRUMBULL AVENUE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123834",
            "telephone_number": "773-878-6550",
            "fax_number": "773-878-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W. FOSTER",
            "address_2": "SUITE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-878-6550",
            "fax_number": "773-878-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD CARE CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "LAZAREVIC",
        "authorized_official_first_name": "MILENKO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "773-878-6550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360956635",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 16, 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.