Individual
ANDREW NAIDECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 N LAKE SHORE DR FL 11, CHICAGO, IL 60611-3006
(312) 503-3335
Mailing address
710 N LAKE SHORE DR FL 11, CHICAGO, IL 60611-3006
(312) 503-3335
Taxonomy
Speciality
Code
Description
License number
State
2083C0008X
Clinical Informatics Physician
036111249
IL
2084A2900X
Neurocritical Care Physician
Primary
036111249
IL
2084N0400X
Neurology Physician
036111249
IL
2084V0102X
Vascular Neurology Physician
036111249
IL
Other
Enumeration date
07/27/2006
Last updated
10/06/2016
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