Individual
MR. ADITYA MAZMUDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612-4861
(312) 432-2300
Mailing address
4494 ARNIEL PL, FAIRFAX, VA 22030-5756
(703) 984-9499
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036.173275
IL
Other
Enumeration date
11/17/2015
Last updated
04/16/2025
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