Individual
GAURAVA AGARWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
446 E ONTARIO ST, CHICAGO, IL 60611-4418
(312) 695-1920
Mailing address
446 E ONTARIO ST, CHICAGO, IL 60611-4418
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125053133
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125053133
LICENSE NUMBER
IL
Enumeration date
08/22/2008
Last updated
08/22/2008
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