Provider Demographics
NPI:1639299761
Name:STOJILJKOVIC, LJUBA (MD, PHD)
Entity Type:Individual
Prefix:
First Name:LJUBA
Middle Name:
Last Name:STOJILJKOVIC
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:LJUBA
Other - Middle Name:
Other - Last Name:RAKIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:440 E ATWATER AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3613
Mailing Address - Country:US
Mailing Address - Phone:630-404-2726
Mailing Address - Fax:
Practice Address - Street 1:1901 W HARRISON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-5058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-112230207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology