Individual
DR. RONALD J VASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
233 E ERIE ST, SUITE 605, CHICAGO, IL 60611-2926
(312) 642-2434
Mailing address
233 E ERIE ST, SUITE 605, CHICAGO, IL 60611-2926
(312) 642-2434
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036039369
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036039369
—
IL
01
—
210716
WPS
IL
Enumeration date
07/20/2006
Last updated
11/08/2012
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