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Individual

ASHOK DEVIDAS SAWLANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7447 W TALCOTT AVE, SUITE 318, CHICAGO, IL 60631-3745
(773) 631-5040
Mailing address
7447 W TALCOTT AVE, SUITE 318, CHICAGO, IL 60631-3745
(773) 631-5040

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036088986
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001606433
BCSB
IL
05
036088986
IL
01
036088986 1
IL DEPT OF PUBLIC AID
IL
01
110164475
RAIL ROAD MEDICARE
IL
01
364213910
TAX I.D.
IL
Enumeration date
11/01/2006
Last updated
12/29/2021
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