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Organization

HARI AGRAWAL MD SC

Active
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Organization

HARI AGRAWAL MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARI K AGRAWAL MD (PRESIDENT)
(773) 884-9000
Entity
Organization

Contact information

Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-9000
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1619540
BCBS PROVIDER ID
IL
01
CH6409
RAILROAD MEDICARE
IL
Enumeration date
11/01/2006
Last updated
01/14/2008
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