Active NPI
Dragic M Obradovic, MD
- Cardiovascular Disease Physician
- Chicago, IL
National Provider Identifier
1740367424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 36044631
- Practice address
- 2800 North Sheridan Road
#500
Chicago, IL 60657-6156 - Phone
- (773) 348-0700
- Fax
- (773) 348-1235
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 36044631 | IL | Primary |
Addresses
Primary practice location
2800 North Sheridan Road
#500
Chicago, IL 60657-6156
Mailing address
2800 North Sheridan Road
#500
Chicago, IL 60657-6156
Phone (773) 348-0700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36044631 | Medicaid | IL | |
| 1621001 | Other | IL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dobradovic16906@ce-direct.presencehealth.org |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36044631 | IL | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1740367424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 NORTH SHERIDAN ROAD",
"address_2": "#500",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576156",
"telephone_number": "773-348-0700",
"fax_number": "773-348-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 NORTH SHERIDAN ROAD",
"address_2": "#500",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576156",
"telephone_number": "773-348-0700",
"fax_number": "773-348-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRADOVIC",
"first_name": "DRAGIC",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "36044631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36044631",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1621001",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dobradovic16906@ce-direct.presencehealth.org",
"affiliation": "N",
"address_1": "2800 North Sheridan Road",
"address_2": "#500",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606576156",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.