Sreckovic, George Ilija

Sreckovic, George Ilija is an individual health care provider with primary practice located at 15300 West Ave Suite 314 West, Orland Park IL 60462-4600. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sreckovic, George Ilija can be contacted via phone (708) 364-7882.

Contact Information

Primary practice address
15300 West Ave Suite 314 West Orland Park IL 60462-4600
Fax: (708) 364-7886
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036095069 Illinois

Profile Details

NPI number 1629067038
LBN Legal business name Sreckovic, George Ilija
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Dec 26th, 2023 - about last year

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 1629067038 NPPES
Illinois MEDICAID 036095069
Illinois Other 02232706
Illinois Other P00211777
Illinois Other 5997533
Illinois Other K16749

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