Provider Demographics
NPI:1477169720
Name:ELDIN KARAIKOVIC M.D. PHD, S.C.
Entity type:Organization
Organization Name:ELDIN KARAIKOVIC M.D. PHD, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAIKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:312-310-5864
Mailing Address - Street 1:1000 N LAKE SHORE PLZ APT 36A
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-1505
Mailing Address - Country:US
Mailing Address - Phone:312-310-5864
Mailing Address - Fax:
Practice Address - Street 1:4646 N MARINE DR # 8C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5759
Practice Address - Country:US
Practice Address - Phone:312-310-5864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty