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Individual

DR. PANKAJ G VASHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 872-6415
(847) 746-6007
Mailing address
2520 ELISHA AVE, ZION, IL 60099
(847) 872-4561
(847) 263-5459

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036-083762
IL
207RG0100X
Gastroenterology Physician
Primary
036.083762
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036083762
IL
01
04901168
BCBS
IL
Enumeration date
10/05/2005
Last updated
01/07/2024
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