Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NIKOLA IVANCEVIC, DPM
Active Sole ProprietorFoot Surgery Podiatrist · BERKELEY, IL
Registration Details
- NPI Number
- 1972685410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2006 (19.521853435376 yrs)
- Last Updated
- Nov 4, 2016
- License
-
016-004831 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5646 ST CHARLES RDSUITE BBERKELEY, IL, 60163Browse IL providers · Browse ZIP 60163
- Phone
- 6307826557
- Fax
- 6307826559
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.