Individual
TOSHA R KADAKIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 HANOVER ST, WOODRIDGE, IL 60517-7731
(630) 770-3484
Mailing address
1221 HANOVER ST, WOODRIDGE, IL 60517-7731
(630) 770-3484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008008
IL
363A00000X
Physician Assistant
MA062998
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/19/2020
Last updated
06/14/2022
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