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

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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