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Individual

ANITA VASUDEVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3348 W 87TH ST, CHICAGO, IL 60652-3767
(773) 694-2806
Mailing address
PO BOX 746721, ATLANTA, GA 30374-6721
(312) 733-9730
(773) 866-8014

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.165947
IL

Other

Enumeration date
04/13/2020
Last updated
07/26/2023
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