Individual
DR. JEFFREY VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-0393
Mailing address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-0393
(312) 864-9919
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125082535
IL
207R00000X
Internal Medicine Physician
125082535
IL
Other
Enumeration date
08/15/2019
Last updated
06/12/2024
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