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Individual

DR. ANAND SRIVASTAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
259 E ERIE ST, CHICAGO, IL 60611-2987
(312) 695-6868
Mailing address
680 N LAKE SHORE DR, CHICAGO, IL 60611-4546
(312) 695-6868

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.143170
IL
207RN0300X
Nephrology Physician
Primary
036.143170
IL

Other

Enumeration date
04/20/2010
Last updated
07/21/2022
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