Individual
MRS. SEVINA TANEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611
(312) 694-0099
Mailing address
251 E HURON ST, CHICAGO, IL 60611
(312) 694-0099
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.005244
IL
Other
Enumeration date
11/20/2014
Last updated
07/30/2018
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