Individual
DR. VANITHA PUSHPA ASOKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
823 SARA CT, ELK GROVE VILLAGE, IL 60007-2900
(423) 665-9272
(855) 329-2725
Mailing address
823 SARA CT, ELK GROVE VILLAGE, IL 60007-2900
(423) 665-9272
(855) 329-2725
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-126486
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036126486-2
—
IL
01
—
P01188933
RR MEDICARE
IL
Enumeration date
02/01/2010
Last updated
03/17/2018
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