Individual
MRS. USHA R VAKHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26TH STREET MEDICAL SERVICE COOP SC 3814 W 26TH STREET, CHICAGO, IL 60623
(773) 522-5200
(773) 522-5356
Mailing address
2601 GREENWOOD RD, NORTHBROOK, IL 60062-7622
(847) 564-5255
(847) 564-5255
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001635951
BLUE CROSS ELECTRONIC
—
Enumeration date
02/21/2007
Last updated
03/07/2023
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