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Individual

ISHA KOTHARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
311 S COUNTY FARM RD STE A, WHEATON, IL 60187-2477
(630) 566-4585
(833) 602-1648
Mailing address
311 S COUNTY FARM RD STE A, WHEATON, IL 60187-2477
(630) 566-4585
(833) 602-1648

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004430
IL

Other

Enumeration date
03/09/2011
Last updated
06/22/2022
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