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Organization
AVANT-GARDE MEDICNE SC
Active
Organization
AVANT-GARDE MEDICNE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPTHI S SAXENA M.D. (PRESIDENT)
(847) 767-0137
Entity
Organization
Contact information
Practice address
1401 S CALIFORNIA BLVD, CHICAGO, IL 60608
(773) 522-2010
Mailing address
215 W WASHINGTON ST # 5006, CHICAGO, IL 60606-3543
(847) 767-0137
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/05/2010
Last updated
07/24/2015
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