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General NPI Number Information
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NPI Number | 1639299761
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Entity Type | Individual
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Provider Name | LJUBA STOJILJKOVIC M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 1901 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60612-3714
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Country | US
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Telephone | 312-864-5058
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Fax |
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Provider Business Mailing Address
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Address Line | 440 E ATWATER AVE
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City | ELMHURST
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State | IL
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Zip | 60126-3613
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Country | US
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Telephone | 630-404-2726
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036-112230
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License Number State | IL
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