Individual
DR. BROJENDRA AGARWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, MC 4051, CHICAGO, IL 60637-1447
(773) 795-4475
(773) 702-2319
Mailing address
5841 S MARYLAND AVE, MC 4051, CHICAGO, IL 60637-1447
(773) 795-4475
(773) 702-2319
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036046668
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036046668
—
IL
Enumeration date
11/30/2005
Last updated
03/14/2013
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