Individual
AJAY MAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 W WELLINGTON AVE, CHICAGO, IL 60657-6708
(773) 296-7379
Mailing address
901 W WELLINGTON AVE, CHICAGO, IL 60657-6708
(773) 296-7379
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036126480
IL
208600000X
Surgery Physician
211200
MA
Other
Enumeration date
11/02/2006
Last updated
03/02/2012
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