Individual
PRANSHU A ADAVADKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST STE 2E, CHICAGO, IL 60612-7232
(312) 996-7416
(312) 413-8778
Mailing address
840 S. WOOD STREET, M/C 856, CHICAGO, IL 60612
(414) 324-9391
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036116217
IL
2080S0012X
Pediatric Sleep Medicine Physician
036116217
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34887200
—
WI
Enumeration date
07/13/2006
Last updated
09/18/2014
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