Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dejan Maksimovic, DO

Individual provider Family Medicine Physician · NPI 1891992269

Dejan Maksimovic, DO is a Family Practice in Peoria, Illinois. Qualified in 2007, 19 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
19
Licensed in
IL, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5114 N Glen Park Place Rd
Peoria, IL 61614-4686
Phone: (309) 655-2431
Fax: (309) 683-2412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036124188 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 56981 (WI)

Record details

NPI number1891992269
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 29, 2007
Last updated in NPPESOctober 6, 2014
Mailing address5114 N Glen Park Place Rd, Peoria, IL 61614-4686

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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