Individual
DR. MITESH VALLABH BADIWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 E HURON ST, GALTER PAVILION, SUITE 11-140, CHICAGO, IL 60611-3197
(312) 695-3662
Mailing address
201 E HURON ST, GALTER PAVILION, SUITE 11-140, CHICAGO, IL 60611-3197
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036.131995
IL
Other
Enumeration date
04/01/2013
Last updated
04/09/2013
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