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Individual

ANJALI PADHYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2025 S CHICAGO STREET, JOLIET, IL 60436-3168
(815) 727-5870
(815) 727-4573
Mailing address
2025 S CHICAGO ST, JOLIET, IL 60436-3172
(815) 727-5870
(815) 727-4573

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070006166
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070006166
STATE LIC
IL
Enumeration date
10/05/2010
Last updated
10/05/2010
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