=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538078084
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DRAGANA VASIC LSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2026
-----------------------------------------------------
Last Update Date | 09/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 906 DAVIS ST
-----------------------------------------------------
City | EVANSTON
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60201-3608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-492-1778
-----------------------------------------------------
Fax | 847-448-0586
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3731 N PITTSBURGH AVE
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60634-1914
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-492-1778
-----------------------------------------------------
Fax | 847-448-0586
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 150.115006
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------