Individual
VASANT R ACHARYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
932 LAKE ST STE 300, OAK PARK, IL 60301-1204
(331) 221-1700
(331) 221-2729
Mailing address
932 LAKE ST STE 300, OAK PARK, IL 60301-1204
(331) 221-1700
(331) 221-2729
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036050860
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050860
—
IL
01
—
P00260047
MEDICARE RAILROAD
IL
Enumeration date
08/02/2006
Last updated
02/23/2021
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