Individual
DR. SARGON AUDISHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4143 N CLAREMONT AVE, APT 2, CHICAGO, IL 60618-2919
(312) 218-1204
Mailing address
890 E HIGGINS RD, SUITE 113A, SCHAUMBURG, IL 60173-4799
(224) 653-9000
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
036132241
IL
Other
Enumeration date
06/25/2009
Last updated
07/18/2013
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