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General NPI Number Information
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NPI Number | 1871389577
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Entity Type | Individual
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Provider Name | AIGERIM BIJELIC CNS, LDN, PHD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 111 N WABASH AVE STE 100
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City | CHICAGO
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State | IL
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Zip | 60602-1903
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Country | US
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Telephone | 312-622-8862
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Fax |
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Provider Business Mailing Address
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Address Line | 419 EVERGREEN DR
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City | VERNON HILLS
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State | IL
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Zip | 60061-2907
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Country | US
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Telephone | 708-406-9186
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | DX7235
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 164012165
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DX7235
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164012165
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License Number State | IL
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