Individual
TANYA PITRODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 S WASHINGTON ST, 3RD FLOOR, NAPERVILLE, IL 60540-7430
(630) 527-5359
(630) 527-5526
Mailing address
801 S WASHINGTON ST, 3RD FLOOR, NAPERVILLE, IL 60540-7430
(630) 527-5359
(630) 527-5526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125050430
IL
208M00000X
Hospitalist Physician
Primary
036121301
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121301 1
—
IL
01
—
2220936
BCBS
IL
Enumeration date
06/24/2008
Last updated
08/13/2010
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