Individual
VISHWANATH AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-4063
(312) 864-9943
Mailing address
752 CENTURY FARM LN, NAPERVILLE, IL 60563-2586
(630) 548-2748
(312) 964-9943
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-085966
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-085966
IL
Other
Enumeration date
07/25/2006
Last updated
04/21/2021
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