Individual
DISHA JAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
939 W NORTH AVE STE 650, CHICAGO, IL 60642-8684
(773) 377-8000
Mailing address
939 W NORTH AVE STE 650, CHICAGO, IL 60642-8684
(773) 377-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
07/06/2020
Last updated
11/20/2025
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