Marko Mihailovic, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.009151 Issued in IL

Practice address

4250 N Marine Dr
Apt # 1633
Chicago, IL 60613-1744

Phone

(773) 816-4228

NPI assigned

Jan 30, 2014

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chicago Center for Well-Being, Inc.

  • Professional Counselor
  • Chicago, IL
  • NPI 1770310518
  NPD Authorized official

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1740603554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W WASHINGTON ST",
            "address_2": "SUITE # 1601",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022801",
            "telephone_number": "773-816-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 N MARINE DR",
            "address_2": "APT # 1633",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131744",
            "telephone_number": "773-816-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHAILOVIC",
        "first_name": "MARKO",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.009151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mighty Mobile Kids Pediatric Therapy, PLLC
• Michele Mighty
• Eugene Miglio III, PHARMD
• Devon Migues, M.A. LPC
• Dan Valentin Mihailescu, MD
• Alexandra Mihalakakos, LCSW
• Miranda Mihalic
• Taylor Mihalic, DO
• Michael L. Mihalov, M.D.
• Mihir Majmundar MDSC

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.