Dragisic, Peter B.

Dragisic, Peter B. is an individual health care provider with primary practice located at 4201 W 95Th St , Oak Lawn IL 60453-2615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dragisic, Peter B. can be contacted via phone (708) 636-1466.

Contact Information

Primary practice address
4201 W 95Th St Oak Lawn IL 60453-2615
Phone: (708) 636-1466
Fax: (708) 636-0264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-092116 Illinois

Profile Details

NPI number 1205932332
LBN Legal business name Dragisic, Peter B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Apr 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205932332 NPPES
Illinois Other 01636324 BCBS
Illinois MEDICAID 016092116 BCBS

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