Active NPI
Jadranko Vukomanovic
- Surgical Assistant
- Chicago, IL
National Provider Identifier
1639025844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238.000168
- Practice address
- 331 W Surf St FL 5
Chicago, IL 60657-7227 - Phone
- (312) 896-7700
- NPI assigned
- Mar 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238.000168 | IL | Primary |
Addresses
Primary practice location
331 W Surf St FL 5
Chicago, IL 60657-7227
Mailing address
255 N Glade Ave
Elmhurst, IL 60126-2513
Phone (630) 290-9960
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
| License | State | Type | Specialty |
|---|---|---|---|
| 238.000168 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1639025844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 N GLADE AVE",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262513",
"telephone_number": "630-290-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 W SURF ST FL 5",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606577227",
"telephone_number": "312-896-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUKOMANOVIC",
"first_name": "JADRANKO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-09",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238.000168",
"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 Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.