DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1093705501

NPI Code Detail

MEDICARE: SERGE PETER MARINKOVIC MD

MEDICARE: SERGE PETER MARINKOVIC MD

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
1	2086S0122X	Plastic and Reconstructive Surgery Physician	200543	LA
2	208800000X	Urology Physician	200543	LA
3	208800000X	Urology Physician	036104897	IL
4	208600000X	Surgery Physician	200543	LA

General Provider Information

NPI Number	:	1093705501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERGE PETER MARINKOVIC MD

Provider Business Mailing Address
First Line	:	3315 N SEMINARY ST
Second Line	:
City	:	GALESBURG
State	:	IL
Zip	:	61401-1251
Country	:	US
Telephone Number	:	309-344-1000
Fax Number	:	309-344-2405

Provider Business Practice Location Address
First Line	:	3315 N SEMINARY ST
Second Line	:
City	:	GALESBURG
State	:	IL
Zip	:	61401-1251
Country	:	US
Telephone Number	:	309-344-1000
Fax Number	:	309-344-2405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	07/31/2025

Similar Medicare Providers

1164485363 — ST MARY MEDICAL CENTER
Practice Location Address:

3333 N SEMINARY ST
GALESBURG, IL
61401-1251

Practice Phone: 309-344-3161
Practice Fax: 309-344-9498

1760474225 — MR. GEORGE IRA NELSON APRN, CRNA
Practice Location Address:

3333 N SEMINARY ST
GALESBURG, IL
61401-1251

Practice Phone: 309-344-9430
Practice Fax:

1821082751 — KELLEY A KRUG PA C
Practice Location Address:

3375 N SEMINARY ST
GALESBURG, IL
61401-1251

Practice Phone: 309-343-5114
Practice Fax:

1023009826 — PREMIER ANESTHESIOLOGY LLC
Practice Location Address:

3333 N SEMINARY ST
GALESBURG, IL
61401-1251

Practice Phone: 309-344-3161
Practice Fax: 309-344-9478

1982668851 — ST MARY MEDICAL CENTER
Practice Location Address:

3333 N SEMINARY ST
GALESBURG, IL
61401-1251

Practice Phone: 309-344-3161
Practice Fax: 309-344-9498

1962467670 — ST MARY MEDICAL CENTER
Practice Location Address:

3333 N SEMINARY ST
GALESBURG, IL
61401-1251

Practice Phone: 309-344-3161
Practice Fax: 309-344-9498

Directions to “ SERGE PETER MARINKOVIC MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.