Active NPI
Kovacevic Medicine PLLC
- Internal Medicine Physician
- Lincolnshire, IL
National Provider Identifier
1629861448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KOVACEVIC MEDICINE PLLC
- Practice address
- 18 Brunswick LN
Lincolnshire, IL 60069-3348 - Phone
- (847) 532-2638
- NPI assigned
- May 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marina Kovacevic, MD
- Title
- Medical Doctor
- Phone
- (847) 532-2638
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
18 Brunswick LN
Lincolnshire, IL 60069-3348
Mailing address
18 Brunswick LN
Lincolnshire, IL 60069-3348
Phone (847) 532-2638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250909000330 | IL | Part B Supplier - Clinic/Group Practice | 2668974577 | Practice locations: Lincolnshire, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1629861448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 BRUNSWICK LN",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "600693348",
"telephone_number": "847-532-2638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 BRUNSWICK LN",
"city": "LINCOLNSHIRE",
"state": "IL",
"postal_code": "600693348",
"telephone_number": "847-532-2638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOVACEVIC MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-24",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "KOVACEVIC",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "847-532-2638",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnshire, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.