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General NPI Number Information
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NPI Number | 1114849221
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Entity Type | Organization
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Legal Business Name | AURA IV THERAPIES AND WELLNESS
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 47 6TH AVE STE L
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City | LA GRANGE
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State | IL
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Zip | 60525-5636
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Country | US
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Telephone | 708-937-9070
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Fax |
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Provider Business Mailing Address
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Address Line | 47 6TH AVE STE L
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City | LA GRANGE
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State | IL
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Zip | 60525-5636
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DRAGAN GASTEVSKI
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Credential | MD
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Telephone | 312-725-9454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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