Healthcare Provider Details

I. General information

NPI: 1245626183
Provider Name (Legal Business Name): MARIJAN PEJIC MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2015
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 E BRUSH HILL RD
ELMHURST IL
60126-5658
US

IV. Provider business mailing address

2050 RIDGE AVE STE 1223
EVANSTON IL
60201-2759
US

V. Phone/Fax

Practice location:
  • Phone: 331-221-5420
  • Fax: 331-221-3701
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License Number036151897
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036151897
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: