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Individual

ADITYA VORUGANTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
711 W NORTH AVE, CHICAGO, IL 60610-1174
(312) 337-1982
Mailing address
711 W NORTH AVE, CHICAGO, IL 60610-1174
(312) 337-1982

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036166279
IL

Other

Enumeration date
03/24/2020
Last updated
09/20/2023
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