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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