Individual
AJAY BAJAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 W 79TH ST, SUITE 1, BURBANK, IL 60459-1554
(708) 636-0006
(708) 636-0007
Mailing address
4901 W 79TH ST, SUITE 1, BURBANK, IL 60459-1554
(708) 636-0006
(708) 636-0007
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036078076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036078076
—
IL
01
—
21608842
BCBS IL
—
01
—
995270
MEDICARE GROUP
IL
01
—
995271
MEDICARE GROUP
IL
Enumeration date
12/21/2005
Last updated
06/23/2008
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