Individual
DIVYA AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612
(312) 432-2300
Mailing address
1 WESTBROOK CORPORATE CTR STE 240, WESTCHESTER, IL 60154-5745
(708) 236-2600
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036.136600
IL
Other
Enumeration date
07/02/2008
Last updated
08/14/2019
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