MEDICARE: EMIL BAFTIROVSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	125.080817	IL

General Provider Information

NPI Number	:	1124759683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMIL BAFTIROVSKI MD

Provider Business Mailing Address
First Line	:	2 E 8TH ST APT 2104
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-2131
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1969 W OGDEN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3765
Country	:	US
Telephone Number	:	312-864-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2022
Last Update Date	:	03/10/2026

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