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Individual

DR. AANDREI JIVENDRA JHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
836 W WELLINGTON AVE, ROOM 4807, CHICAGO, IL 60657-5147
(773) 296-7093
Mailing address
856 W NELSON ST, APARTMENT 2004, CHICAGO, IL 60657-5152
(347) 451-2302

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125055579
IL

Other

Enumeration date
12/15/2008
Last updated
12/15/2008
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