Provider Demographics
NPI:1285426080
Name:AIYA FUNCTIONAL WELLNESS PLLC
Entity type:Organization
Organization Name:AIYA FUNCTIONAL WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:AIGERIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BIJELIC
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CNS, LDN
Authorized Official - Phone:312-622-8862
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:
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:708-406-9186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty