Individual
MRS. KANNAN PARIKH TANEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.A. - C
Contact information
Practice address
1725 W HARRISON ST, SUITE 207, CHICAGO, IL 60612-3841
(312) 563-4176
(312) 563-3945
Mailing address
1725 W HARRISON ST, SUITE 207, CHICAGO, IL 60612-3841
(312) 563-4176
(312) 563-3945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005844
IL
Other
Enumeration date
12/18/2009
Last updated
08/02/2016
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