Individual
DR. ASHLEY VAVRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611
(312) 695-2714
Mailing address
680 N LAKE SHORE DR, CHICAGO, IL 60611-4546
(312) 695-6868
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036121509
IL
2086S0129X
Vascular Surgery Physician
0054184
CO
2086S0129X
Vascular Surgery Physician
Primary
036121509
IL
Other
Enumeration date
08/11/2008
Last updated
07/17/2018
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