Organization
UDAY I VYAS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UDAY VYAS MD (PRESIDENT)
(773) 792-9111
Entity
Organization
Contact information
Practice address
7101 W HIGGINS AVE, CHICAGO, IL 60656-1903
(773) 792-9111
(773) 792-9119
Mailing address
7101 W HIGGINS AVE, CHICAGO, IL 60656-1903
(773) 792-9111
(773) 792-9119
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
712090
MEDICARE PROVIDER NUMBER
IL
Enumeration date
09/24/2007
Last updated
12/21/2007
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