Individual
BAKIR DZANANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-6020
Mailing address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-2710
(847) 318-2917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.081733
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036.177002
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2023
Last updated
04/09/2026
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