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Individual

AJAY BADDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(773) 880-9722
(312) 766-4917
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-3014
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036097688
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487951711
NPI GROUP PRACTICE
IL
01
1602375
BSBC
IL
Enumeration date
05/25/2006
Last updated
09/27/2022
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