Individual
ABHAYA PANDIT TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
420 E OHIO ST, APT 8D, CHICAGO, IL 60611-3390
(248) 470-3421
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036.143182
IL
207RP1001X
Pulmonary Disease Physician
Primary
036.143182
IL
Other
Enumeration date
04/13/2010
Last updated
09/21/2017
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