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Individual

DR. SMIT C VASAIWALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
1340 N ASTOR ST, APT 1008, CHICAGO, IL 60610-2171

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036115836
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
036115836
IL

Other

Enumeration date
06/30/2008
Last updated
10/19/2018
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