Individual
ARIANA TASHINA GLADIEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
240 E HURON ST STE 1-200, CHICAGO, IL 60611-2909
(312) 503-1851
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.011545
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085011545
—
IL
Enumeration date
05/07/2024
Last updated
09/12/2025
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