Individual
LOPA K PANDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST # MC650, CHICAGO, IL 60612-4795
(312) 413-7500
Mailing address
820 S WOOD ST # MC808, CHICAGO, IL 60612-4325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125061785
IL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
036137045
IL
Other
Enumeration date
06/20/2012
Last updated
07/08/2019
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