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General NPI Number Information
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NPI Number | 1811728322
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Entity Type | Individual
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Provider Name | MAJA JAKOVLJEVIC PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 540 W FRONTAGE RD STE 2320
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City | NORTHFIELD
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State | IL
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Zip | 60093-1226
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Country | US
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Telephone | 708-613-0377
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Fax |
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Provider Business Mailing Address
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Address Line | 540 W FRONTAGE RD STE 2320
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City | NORTHFIELD
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State | IL
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Zip | 60093-1226
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Country | US
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Telephone | 708-613-0377
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5254-57
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.022108
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License Number State | IL
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