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Individual

KARISHMA DAFTARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
676 N SAINT CLAIR ST STE 1600, CHICAGO, IL 60611-2997
(502) 593-1017
Mailing address
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202-1702
(502) 852-8696

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125.083084
IL

Other

Enumeration date
05/06/2020
Last updated
07/01/2024
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