MEDICARE: JADRANKO VUKOMANOVIC

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	246ZC0007X	Surgical Assistant	238.000168	IL

General Provider Information

NPI Number	:	1639025844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADRANKO VUKOMANOVIC

Provider Business Mailing Address
First Line	:	255 N GLADE AVE
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-2513
Country	:	US
Telephone Number	:	630-290-9960
Fax Number	:

Provider Business Practice Location Address
First Line	:	331 W SURF ST FL 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-7227
Country	:	US
Telephone Number	:	312-896-7700
Fax Number	:

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ JADRANKO VUKOMANOVIC ” Practice Location

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