MEDICARE: LINCOLN MEDICAL CENTER, PC

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	207RA0000X	Adolescent Medicine (Internal Medicine) Physician	036113528	IL

General Provider Information

NPI Number	:	1396916151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINCOLN MEDICAL CENTER, PC

Provider Business Mailing Address
First Line	:	5106 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3113
Country	:	US
Telephone Number	:	773-907-8255
Fax Number	:	773-907-8296

Provider Business Practice Location Address
First Line	:	5106 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3113
Country	:	US
Telephone Number	:	773-907-8255
Fax Number	:	773-907-8296

Authorized Official
Title or Position	:	MD
Name	:	DR. KIJANA SEFEROVIC
Credential	:
Telephone Number	:	773-907-8255

Provider Enumeration Date	:	03/19/2008
Last Update Date	:	01/26/2026

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