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Individual

ASHA N. VIJAYAKUMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
303 W. LAKE ST, #200, ADDISON, IL 60101
(331) 221-9001
(847) 358-2770
Mailing address
172 SCHILLER, ELMHURST, IL 60126-2885
(331) 221-9001
(331) 221-3971

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-107591
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-107591
IL
Enumeration date
06/06/2006
Last updated
12/20/2021
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