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NPI Code Detail

MEDICARE: DR. RADMILA STEVANOVIC DDS

MEDICARE: DR. RADMILA STEVANOVIC DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2901602842MI
2122300000XDentist019.034515IL

General Provider Information

NPI Number : 1003595133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RADMILA STEVANOVIC DDS
Provider Business Mailing Address
First Line : 4 ELM CREEK DR APT 309
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5286
Country : US
Telephone Number : 901-277-3905
Fax Number :
Provider Business Practice Location Address
First Line : 1 CHICAGO AVE
Second Line :
City : OAK PARK
State : IL
Zip : 60302-2432
Country : US
Telephone Number : 708-948-7744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 12/11/2025

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Directions to “ DR. RADMILA STEVANOVIC DDS” Practice Location

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