# AVANT-GARDE MEDICNE SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265755177
- **Authorized official:** DR. DEEPTHI S SAXENA M.D. (PRESIDENT)
- **Authorized official phone:** (847) 767-0137

## Contact information

- **Practice address:** 1401 S CALIFORNIA BLVD, CHICAGO, IL 60608
- **Practice address phone:** (773) 522-2010
- **Mailing address:** 215 W WASHINGTON ST \# 5006, CHICAGO, IL 60606-3543
- **Mailing address phone:** (847) 767-0137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2010
- **Last updated:** 07/24/2015