Organization
SAROJ K. VERMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTI G GROGAN (OFFICE MANAGER)
(773) 721-4900
Entity
Organization
Contact information
Practice address
10701 S EWING AVE, CHICAGO, IL 60617-6606
(773) 721-4900
(773) 721-8963
Mailing address
10701 S EWING AVE, CHICAGO, IL 60617-6606
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085005506
IL
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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