Individual
DR. ASHOK VASANT SHIVDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
374 CRESTWOOD RD, WOOD DALE, IL 60191-2547
(630) 616-0638
(630) 616-0638
Mailing address
374 CRESTWOOD RD, WOOD DALE, IL 60191-2547
(630) 616-0638
(630) 616-0638
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
036-058182
IL
Other
Enumeration date
04/10/2007
Last updated
11/07/2008
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