Dr. Sanja Nikolich
Surgeon Trauma Surgeon Surgical Critical Care
1775 Dempster St
Park Ridge
, Illinois 60068-1143
Dr. Sanja Nikolich
Surgeon Trauma Surgeon Surgical Critical Care
1775 Dempster St
Park Ridge
, Illinois 60068-1143
(847) 723-6523
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Sanja Nikolich
- 1775 Dempster St
- Park Ridge, IL
- Zip : 60068-1143
- Phone : (847) 723-6523
Second Address
- Dr. Sanja Nikolich
- 1775 Dempster St
- Park Ridge, IL
- Zip : 60068-1143
- Phone : (847) 723-6523
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 036084811 | IL |
| N | 208600000X | Surgeon | 036084811 | IL |
| Y | 2086S0102X | Surgical Critical Care | 036084811 | IL |
| N | 2086S0127X | Trauma Surgeon | 036084811 | IL |
National Provider Identifier
| NPI | 1255364063 |
|---|---|
| Provider Name | Dr. Sanja Nikolich |
| First Address | Park Ridge, IL 60068-1143 |
| Second Address | Park Ridge, IL 60068-1143 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2006 |
| Last Update Date | 08/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036084811 | (05) | IL |
| G13634 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.