Individual
DR. SUPRIYA JASUJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 LAKE ST, SUITE 300, OAK PARK, IL 60301-1147
(847) 778-4833
Mailing address
16 CAMBRIDGE DR, OAK BROOK, IL 60523-1705
(630) 655-2702
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036101872
IL
207RI0200X
Infectious Disease Physician
A71162
CA
Other
Enumeration date
01/04/2007
Last updated
04/26/2021
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