# AVANT -GARDE MEDICNE SC

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

## Provider details

- **NPI number:** 1275918112
- **Authorized official:** DR. DEEPTHI S SAXENA M.D. (OWNER)
- **Authorized official phone:** (702) 566-4343

## Contact information

- **Practice address:** 215 W WASHINGTON ST APT 5006, CHICAGO, IL 60606-3543
- **Practice address phone:** (702) 566-5343
- **Mailing address:** 1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
- **Mailing address phone:** (773) 522-2010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036-111103 | IL | Yes |

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 07/21/2015