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Individual

AMIT M. CHAUDHARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN-CNP

Contact information

Practice address
2650 RIDGE AVE # 4210, EVANSTON, IL 60201
(847) 570-1010
Mailing address
2650 RIDGE AVE # 4210, EVANSTON, IL 60201-1700
(847) 570-1010

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041361420
IL
363L00000X
Nurse Practitioner
Primary
209008922
IL

Other

Enumeration date
07/21/2011
Last updated
10/07/2019
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