Healthcare Provider Details

I. General information

NPI: 1013855147
Provider Name (Legal Business Name): MILICA NOVAKOVIC DMD MS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MCHENRY RD STE 121
BUFFALO GROVE IL
60089-1383
US

IV. Provider business mailing address

1401 MCHENRY RD STE 121
BUFFALO GROVE IL
60089-1383
US

V. Phone/Fax

Practice location:
  • Phone: 847-913-7700
  • Fax:
Mailing address:
  • Phone: 847-913-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. MILICA MITSY NOVAKOVIC
Title or Position: OWNER
Credential: DMD, MS
Phone: 312-951-3171