Individual
ARUNA VADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
36067570
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036067570
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36067570
—
IL
Enumeration date
12/30/2005
Last updated
03/27/2019
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