Individual
MS. SHRADDHA PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3021 N SHEFFIELD AVE, CHICAGO, IL 60657-4419
(872) 843-0550
(872) 873-9070
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008482
IL
Other
Enumeration date
10/19/2021
Last updated
09/27/2024
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