Individual ProviderDragan DjordjevicInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1725 W Harrison, Suite 318, Chicago, IL 60612(312) 942-6647PECOS EnrollmentBased on the most recent information from CMS, provider Dragan Djordjevic is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1518992783Provider TypeIndividualFull NameDjordjevic, DraganTitleMr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date7/12/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1725 W Harrison, Suite 318, Chicago, IL 60612Phone(312) 942-6647Fax(312) 942-3740Mailing LocationMailing Address1725 W Harrison, Suite 318, Chicago, IL 60612Phone(312) 942-6647Fax(312) 942-3740Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerIllinoisProvider IdentifiersIDDescriptionIssuerID01605404DescriptionOtherIssuerBCBS