Individual
DR. VINAY V BAJAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N WALL ST STE B410, KANKAKEE, IL 60901-2940
(815) 933-2221
(815) 933-3975
Mailing address
400 N WALL ST STE B410, KANKAKEE, IL 60901-2940
(815) 933-2221
(815) 933-3975
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036156986
IL
208600000X
Surgery Physician
Primary
MT211105
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT211105
MEDICAL TRAINING LICENSE
PA
Enumeration date
06/02/2016
Last updated
05/12/2026
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