Provider Demographics
NPI:1871389577
Name:BIJELIC, AIGERIM (CNS, LDN, PHD)
Entity type:Individual
Prefix:
First Name:AIGERIM
Middle Name:
Last Name:BIJELIC
Suffix:
Gender:F
Credentials:CNS, LDN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-2907
Mailing Address - Country:US
Mailing Address - Phone:312-622-8862
Mailing Address - Fax:
Practice Address - Street 1:111 N WABASH AVE STE 100
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1903
Practice Address - Country:US
Practice Address - Phone:312-622-8862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX7235133N00000X, 133NN1002X
IL164012165133NN1002X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education