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General NPI Number Information
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NPI Number | 1245433093
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Entity Type | Organization
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Legal Business Name | MARKO LEKOVIC, M.D.,S.C.
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 6433 PULASKI ROAD
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City | CHICAGO
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State | IL
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Zip | 60629
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Country | US
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Telephone | 773-581-4266
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Fax | 773-582-2150
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Provider Business Mailing Address
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Address Line | 6433 PULASKI ROAD
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City | CHICAGO
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State | IL
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Zip | 60629
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Country | US
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Telephone | 773-581-4266
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Fax | 773-582-2150
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARKO A. LEKOVIC
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Credential | M.D.
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Telephone | 773-581-4266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State | IL
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