Individual
SENADA BAJMAKOVIC-KACILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2150 W HARRISON ST, CHICAGO, IL 60612-3706
(312) 942-5375
(312) 942-3113
Mailing address
2150 W HARRISON ST, CHICAGO, IL 60612-3706
(312) 942-5375
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-136576
IL
2084P0800X
Psychiatry Physician
206381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01810140
—
NY
Enumeration date
01/03/2007
Last updated
12/03/2015
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