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General NPI Number Information
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NPI Number | 1487448379
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Entity Type | Individual
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Provider Name | STEVAN BAJICH RPH
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Gender | Male
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1 N WAUKEGAN RD
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City | NORTH CHICAGO
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State | IL
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Zip | 60064-1802
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Country | US
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Telephone | 888-857-0668
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 W RASCHER AVE
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City | CHICAGO
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State | IL
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Zip | 60625-3913
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Country | US
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Telephone | 773-691-0882
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.306784
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License Number State | IL
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