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NPI 1245626183

NPI 1245626183 : MARIJAN PEJIC MD : ELMHURST, IL

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General NPI Number Information
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    NPI Number           |    1245626183
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    Entity Type          |    Individual 
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    Provider Name        |    MARIJAN PEJIC MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/07/2015
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    Last Update Date     |    08/04/2025
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Provider Practice Location Address
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    Address Line         |    155 E BRUSH HILL RD 
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    City                 |    ELMHURST
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    State                |    IL
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    Zip                  |    60126-5658
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    Country              |    US
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    Telephone            |    331-221-5420
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    Fax                  |    331-221-3701
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Provider Business Mailing Address
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    Address Line         |    2050 RIDGE AVE STE 1223 
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    City                 |    EVANSTON
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    State                |    IL
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    Zip                  |    60201-2759
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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    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085D0003X
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    Taxonomy Name        |    Diagnostic Neuroimaging (Radiology) Physician
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    License Number       |    036151897
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    036151897
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    License Number State |    IL
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