DR. MARINA VIDOVIC M.D.
NPI 1063504579
Specialist in Chicago, IL

Q: What is Marina Vidovic's NPI number?

The NPI number for Marina Vidovic is 1063504579. It was assigned to this individual provider in the NPPES registry on September 29, 2006. The provider is also known as Dr. Marina Tkalcevic M.D..

Q: What is Marina Vidovic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Marina Vidovic was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2006PECOS Enrolled

1945 W WILSON AVE, 4TH FLOOR, CHICAGO, IL 60640(773) 769-4600(773) 769-0024 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Marina Vidovic M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARINA VIDOVIC M.D. (NPI 1063504579) is an individual specialist in Chicago, Illinois and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063504579

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. MARINA VIDOVICCredential: M.D.

Location Address1945 W WILSON AVE, 4TH FLOORChicago, IL 60640-5255

Mailing Address1945 W Wilson Ave, 4th FloorChicago, IL 60640-5255 · (773) 769-4600 · Fax (773) 769-0024

Phone(773) 769-4600

Fax(773) 769-0024

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063504579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1945 W WILSON AVE, Chicago, IL 60640

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Other Names 1

Former Name (1)Dr. Marina Tkalcevic M.d.

Other Identifiers 1

Medicare UPINF66747IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marina Vidovic M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA GRACE TATSUI

Occupational Therapist (Pediatrics)

1945 W WILSON AVE
CHICAGO, IL 60640

Cook County (773) 782-2773

MARGARET T SMITH GAUTHIER P.T.

Physical Therapist (Neurology)

1945 W WILSON AVE, SU. 100
CHICAGO, IL 60640

Cook County (312) 238-3114

MS. JESSICA ANNE GOULD LCSW

Social Worker (Clinical)

1945 W WILSON AVE
CHICAGO, IL 60640

Cook County (312) 344-3879

MARGARET MARY BOLIN LCPC, CADC

Counselor (Professional)

1945 W WILSON AVE, # 6115
CHICAGO, IL 60640

Cook County (773) 307-3592

NANETTE KOTZ-JOOB N.P.

Nurse Practitioner (Pediatrics)

1945 W WILSON AVE
CHICAGO, IL 60640

Cook County (773) 736-6220

WELL INTEGRATIVE FAMILY MEDICINE, INC.

Family Medicine

1945 W WILSON AVE, 6106
CHICAGO, IL 60640

Cook County (773) 784-7000

ROSSANA SIERRA-SWIECH LCPC

Counselor (Professional)

1945 W WILSON AVE, SUITE 6117
CHICAGO, IL 60640

Cook County (773) 633-0593

ISABELLA MARIE NEACH

Speech-Language Pathologist

1945 W WILSON AVE
CHICAGO, IL 60640

Cook County (773) 782-2773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marina Vidovic's NPI number?

The NPI number for Marina Vidovic is 1063504579. It was assigned to this individual provider in the NPPES registry on September 29, 2006. The provider is also known as Dr. Marina Tkalcevic M.D..

Where is Marina Vidovic located?

Marina Vidovic practices at 1945 W Wilson Ave 4th Floor, Chicago, IL 60640. The listed phone number is (773) 769-4600.

What is Marina Vidovic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Marina Vidovic enrolled in Medicare?

Yes. Marina Vidovic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marina Vidovic was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.