DR. SUSANNE S RADIVOJEVIC DDS
NPI 1417035569
Dentist - General Practice in Chicago, IL

Q: What is Susanne Radivojevic's NPI number?

The NPI number for Susanne Radivojevic is 1417035569. It was assigned to this individual provider in the NPPES registry on November 2, 2006. The provider is also known as Dr. Tipo A Khan Dds.

Q: What is Susanne Radivojevic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since November 02, 2006

1945 W WILSON AVE, SUITE 5106, CHICAGO, IL 60640(773) 275-8855(773) 275-8822 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. Susanne S Radivojevic Dds NPPES

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

DR. SUSANNE S RADIVOJEVIC DDS (NPI 1417035569) is an individual general practice provider in Chicago, Illinois and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1417035569

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SUSANNE S RADIVOJEVICCredential: DDS

Location Address1945 W WILSON AVE, SUITE 5106Chicago, IL 60640-5255

Mailing Address1945 W Wilson Ave, Suite 5106Chicago, IL 60640-5255 · (773) 275-8855 · Fax (773) 275-8822

Phone(773) 275-8855

Fax(773) 275-8822

Sole ProprietorNo

Enumeration DateNovember 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417035569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1945 W WILSON AVE, Chicago, IL 60640

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Other Names 1

Former Name (1)Dr. Tipo A Khan Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

DR. MARINA VIDOVIC M.D.

Specialist

1945 W WILSON AVE, 4TH FLOOR
CHICAGO, IL 60640

Cook County (773) 769-4600

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

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 Susanne Radivojevic's NPI number?

The NPI number for Susanne Radivojevic is 1417035569. It was assigned to this individual provider in the NPPES registry on November 2, 2006. The provider is also known as Dr. Tipo A Khan Dds.

Where is Susanne Radivojevic located?

Susanne Radivojevic practices at 1945 W Wilson Ave Suite 5106, Chicago, IL 60640. The listed phone number is (773) 275-8855.

What is Susanne Radivojevic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Susanne Radivojevic accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 9 other insurers list Susanne Radivojevic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susanne Radivojevic 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.