Organization Active NPI

Slobodan D. Vucicevic,MD, SC

  • Orthopaedic Surgery Physician
  • Downers Grove, IL
National Provider Identifier
1861686388
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SLOBODAN D. VUCICEVIC,MD, SC
Practice address
3825 Highland Ave
Suite 3C
Downers Grove, IL 60515-1552
Phone
(708) 749-0117
Fax
(708) 749-8593
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Slobodan D Vucicevic, M.D.
Title
President
Phone
(708) 749-0117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X IL Primary

Addresses

Primary practice location

3825 Highland Ave
Suite 3C
Downers Grove, IL 60515-1552

Mailing address

3501 S Harlem Ave
Berwyn, IL 60402-3263
Phone (708) 749-0117

Other identifiers 1

IdentifierTypeStateIssuer
2221384OtherILBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1861686388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S HARLEM AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023263",
            "telephone_number": "708-749-0117",
            "fax_number": "708-749-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "SUITE 3C",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "708-749-0117",
            "fax_number": "708-749-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOBODAN D. VUCICEVIC,MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VUCICEVIC",
        "authorized_official_first_name": "SLOBODAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-749-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "2221384",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.