Individual
ANIKA MAZUMDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-0200
Mailing address
1950 W POLK ST, CHICAGO, IL 60612-3723
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125.082779
IL
Other
Enumeration date
03/22/2023
Last updated
08/03/2024
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