Bajaj, Ajay

Bajaj, Ajay is an individual health care provider with primary practice located at 4901 W 79Th St Suite 1, Burbank IL 60459-1554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bajaj, Ajay can be contacted via phone (708) 636-0006.

Contact Information

Primary practice address
4901 W 79Th St Suite 1 Burbank IL 60459-1554
Fax: (708) 636-0007
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036078076 Illinois

Profile Details

NPI number 1518943513
LBN Legal business name Bajaj, Ajay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jun 23rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518943513 NPPES
Illinois Other 995271 MEDICARE GROUP
Illinois Other 01621679 MEDICARE GROUP
Illinois Other 995270 MEDICARE GROUP
Illinois MEDICAID 036078076 MEDICARE GROUP
Illinois Other 21608842 MEDICARE GROUP

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