Organization
AVANT -GARDE MEDICNE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPTHI S SAXENA M.D. (OWNER)
(702) 566-4343
Entity
Organization
Contact information
Practice address
215 W WASHINGTON ST APT 5006, CHICAGO, IL 60606-3543
(702) 566-5343
Mailing address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 522-2010
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-111103
IL
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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