Provider Demographics
NPI:1811948185
Name:ZECEVIC-STERNIC, VESNA (MD)
Entity type:Individual
Prefix:DR
First Name:VESNA
Middle Name:
Last Name:ZECEVIC-STERNIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62311 COLLECTION CENTER DR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60693-0623
Mailing Address - Country:US
Mailing Address - Phone:773-774-1818
Mailing Address - Fax:773-990-8947
Practice Address - Street 1:7447 W TALCOTT AVE
Practice Address - Street 2:#507
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3745
Practice Address - Country:US
Practice Address - Phone:773-774-1818
Practice Address - Fax:773-990-8947
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036104781207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036104781OtherPHYSICIAN LICENSE
IL336065873OtherCONTROLLED SUBSTANCE
IL036104781Medicaid
745367OtherMEDICARE GROUP
ILBZ7488617OtherDEA
745367OtherMEDICARE GROUP
ILBZ7488617OtherDEA