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

Dejan Micic

Individual provider Gastroenterology Physician · NPI 1356660203

Dejan Micic is a Gastroenterology in Chicago, Illinois. Graduated from University of Wisconsin School of Medicine in 2010, 16 years ago. Practices with Loyola University Medical Center, a 946-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
16
Trained at
University of Wisconsin School of Medicine
Licensed in
IL
In the registry since
2010
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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (888) 824-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 036132320 (IL)

Record details

NPI number1356660203
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2010
Last updated in NPPESOctober 24, 2022
Mailing address150 Harvester Dr, Suite 300, Burr Ridge, IL 60527-5919

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Loyola University Medical Center — 946 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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