Healthcare Provider Details

I. General information

NPI: 1538025184
Provider Name (Legal Business Name): VLADANKA MITROVIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W HIGGINS RD STE 570
HOFFMAN ESTATES IL
60169-7210
US

IV. Provider business mailing address

384 ELIZABETH DR
WOOD DALE IL
60191-2321
US

V. Phone/Fax

Practice location:
  • Phone: 224-698-9792
  • Fax: 224-698-9792
Mailing address:
  • Phone: 630-362-6336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number208.011541
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: