Dejana Radulovic

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

036120313 Issued in IL

Practice address

676 North St.Clair
800
Chicago, IL 60611

Phone

(312) 695-3755

Fax

(312) 695-5645

NPI assigned

Aug 4, 2008

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1700042363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E ONTARIO ST",
            "address_2": "2501B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 NORTH ST.CLAIR",
            "address_2": "800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-695-3755",
            "fax_number": "312-695-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADULOVIC",
        "first_name": "DEJANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "IL",
            "license": "036120313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dragana Radovanovic
• Radplumber LLC
• Donald Radtke, PHARMD
• Robert William Radtke III, PA-C
• Corina Radulescu, EDUCATIONAL SPECIALI
• Tatiana Radunovic, OTD, OTR/L
• Lisa Radville, APN
• Ahmed Radwan, DO
• Karam Radwan
• Ewa Radwanska, MD

• Body Imaging Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Body Imaging Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.