Organization
ABHILASHA GANJU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABHILASHA GANJU (PRESIDENT)
(312) 259-9360
Entity
Organization
Contact information
Practice address
1286 N MILWAUKEE AVE # 205, CHICAGO, IL 60642-2219
(312) 259-9360
Mailing address
1286 N MILWAUKEE AVE # 205, CHICAGO, IL 60642-2219
(312) 259-9360
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036052756
IL
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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