DR. MARINA VIDOVIC M.D.
NPI 1063504579
Specialist in Chicago, IL
NPI Status: Active since September 29, 2006
Contact Information
1945 W WILSON AVE
4TH FLOOR
CHICAGO, IL
ZIP 60640
Phone: (773) 769-4600
Fax: (773) 769-0024
- Individual
- Female
- Specialist
- PECOS Enrolled
About MARINA VIDOVIC
This page provides the complete NPI Profile along with additional information for Marina Vidovic, a provider established in Chicago, Illinois with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1063504579 assigned on September 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1063504579
- Provider Name
- DR. MARINA VIDOVIC M.D.
- Other Name
- DR. MARINA TKALCEVIC M.D.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1945 W WILSON AVE 4TH FLOOR CHICAGO, IL 60640
- Location Phone
- (773) 769-4600
- Location Fax
- (773) 769-0024
- Mailing Address
- 1945 W WILSON AVE 4TH FLOOR CHICAGO, IL 60640
- Mailing Phone
- (773) 769-4600
- Mailing Fax
- (773) 769-0024
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-29-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License State
- IL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F66747 | MEDICARE UPIN (02) | IL |
Medicare Participation & PECOS Enrollment Status
Marina Vidovic is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. MARINA VIDOVIC M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 5 | 0 | 4 | 5 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 10 | 0 | 8 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 0 + 0 + 8 + 5 + 1 + 4 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1063504579 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639160658 | DR. LARRY ALAN FISHER D.D.S. Individual | Dentist (General Practice) | 1945 W WILSON AVE SUITE 2112 CHICAGO, IL 60640 (773) 561-4508 |
| 1851351639 | DR. ASAD REDJAI M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1945 W WILSON AVE SUITE 6120 CHICAGO, IL 60640 (773) 784-5300 |
| 1669400271 | UPTOWN ORTHOPAEDIC SURGEONS SC Organization | Specialist | 1945 W WILSON AVE SUITE # 6116-18 CHICAGO, IL 60640 (773) 275-5176 |
| 1568493799 | DR. TERRY G. SUKENIK M.D. Individual | Internal Medicine | 1945 W WILSON AVE 4TH FLOOR CHICAGO, IL 60640 (773) 769-4600 |
| 1275551137 | TODD JAY OCHS MD Individual | Pediatrics | 1945 W WILSON AVE CHICAGO, IL 60640 (773) 769-4600 |
| 1205855020 | JUAN F VARGAS-MONTANO MD Individual | Obstetrics & Gynecology | 1945 W WILSON AVE SUITE 2113 CHICAGO, IL 60640 (773) 784-0851 |
| 1700970779 | DR. YELENA OLEYNIKOV M.D. Individual | Pediatrics | 1945 W WILSON AVE 4TH FLOOR CHICAGO, IL 60640 (773) 769-4600 |
| 1568542595 | LARRY EDWARD BALDWIN PH.D Individual | Psychologist (Clinical) | 1945 W WILSON AVE FOURTH FLOOR CHICAGO, IL 60640 (773) 769-4600 |
| 1568548634 | MS. JANET RAE STALLMAN L.C.P.C. Individual | Counselor (Professional) | 1945 W WILSON AVE SUITE 6108 CHICAGO, IL 60640 (773) 680-8701 |
| 1417035569 | DR. SUSANNE S RADIVOJEVIC DDS Individual | Dentist (General Practice) | 1945 W WILSON AVE SUITE 5106 CHICAGO, IL 60640 (773) 275-8855 |
| 1417035544 | DR. TIPO AKHTAR KHAN DDS Individual | Dentist (General Practice) | 1945 W WILSON AVE SUITE 5106 CHICAGO, IL 60640 (773) 275-8855 |
| 1932274958 | SARAH L CONTORER LCSW Individual | Social Worker (Clinical) | 1945 W WILSON AVE SUITE 6115 CHICAGO, IL 60640 (773) 742-2103 |
| 1801949805 | DR. RENEE SCHICKLER M.D. Individual | Specialist | 1945 W WILSON AVE FOURTH FLOOR CHICAGO, IL 60640 (773) 769-4600 |
| 1831221928 | AMY ZECHMAN VREE LCSW Individual | Social Worker (Clinical) | 1945 W WILSON AVE 5TH FLOOR CHICAGO, IL 60640 (773) 907-2347 |
| 1033243506 | MARGARET T SMITH GAUTHIER P.T. Individual | Physical Therapist | 1945 W WILSON AVE SU. 100 CHICAGO, IL 60640 (312) 238-3114 |
| 1295852556 | GWENDOLYN ANN STURT MA, CCC-SLP-L Individual | Speech-Language Pathologist | 1945 W WILSON AVE SUITE 100 CHICAGO, IL 60640 (312) 238-2131 |
| 1184741803 | JENNIFER S. GOROKHOVSKY M.A., CCC-SLP Individual | Speech-Language Pathologist | 1945 W WILSON AVE SUITE 100 CHICAGO, IL 60640 (312) 238-2123 |
| 1538289129 | AMANDA HOFFMAN OTR-L Individual | Occupational Therapist | 1945 W WILSON AVE SUITE 100 CHICAGO, IL 60640 (312) 238-2122 |
| 1528180239 | MS. DUSTY JILL RIPPELMEYER PT, MPT, MS, GCS,NCS Individual | Physical Therapist | 1945 W WILSON AVE SUITE 100 CHICAGO, IL 60640 (312) 238-2128 |
| 1124241153 | MRS. KELLY RODRIGUEZ NANCE PT, MPT Individual | Physical Therapist | 1945 W WILSON AVE CHICAGO, IL 60640 (312) 238-2120 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063504579, enumerated in the NPI registry as an "individual" on September 29, 2006
The provider is located at 1945 W Wilson Ave 4th Floor Chicago, Il 60640 and the phone number is (773) 769-4600
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on September 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.