Individual
DRASHTI NITESHKUMAR ANTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(331) 245-5842
Mailing address
355 RIDGE AVE, EVANSTON, IL 60202-3328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.077069
IL
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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