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Individual

ASHOK B PHADKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2031 E GRAND AVE, SUITE 200, LINDENHURST, IL 60046-9041
(847) 356-5575
(847) 356-1792
Mailing address
2031 E GRAND AVE, SUITE 200, LINDENHURST, IL 60046-9041
(847) 356-5575
(847) 356-1792

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36-093977
IL

Other

Enumeration date
09/27/2005
Last updated
05/14/2009
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