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Individual

VAISHNAVI KRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD/MPH

Contact information

Practice address
1750 W HARRISON ST STE 775, CHICAGO, IL 60612-3825
(312) 942-5474
Mailing address
1750 W HARRISON ST STE 775, CHICAGO, IL 60612-3825
(312) 942-5474

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.076081
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2020
Last updated
07/20/2020
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