Provider Demographics
NPI:1063599546
Name:DIMOVSKI, NEBOJSA NICK (DC)
Entity type:Individual
Prefix:
First Name:NEBOJSA
Middle Name:NICK
Last Name:DIMOVSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 W 99TH ST
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-1400
Mailing Address - Country:US
Mailing Address - Phone:708-430-5440
Mailing Address - Fax:
Practice Address - Street 1:8005 W 99TH ST
Practice Address - Street 2:
Practice Address - City:PALOS HILLS
Practice Address - State:IL
Practice Address - Zip Code:60465-1400
Practice Address - Country:US
Practice Address - Phone:708-430-5440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.010870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor