Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 036117452 | IL |
N | 207XS0117X | Orthopaedic Spine Surgeon | 036117452 | IL |
NPI | 1043436819 |
---|---|
Provider Name | Dalip Pelinkovic |
First Address | Lisle, IL 60532-3698 |
Second Address | Naperville, IL 60540-8902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 17/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036117452 | (05) | IL |