Individual
DR. ADITI VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 S KENNEDY DR STE 700, BRADLEY, IL 60915
(815) 935-7532
(815) 935-7495
Mailing address
400 S KENNEDY DR STE 700, BRADLEY, IL 60915-2639
(815) 935-7532
(815) 935-7495
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
036149320
IL
2083X0100X
Occupational Medicine Physician
Primary
036149320
IL
Other
Enumeration date
07/22/2013
Last updated
09/12/2019
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