Individual
AMIT D VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD SC
Contact information
Practice address
2315 E 93RD ST STE 236, CHICAGO, IL 60617-3984
(773) 221-2700
(773) 221-5701
Mailing address
1917 MIDWEST CLUB PKWY, OAK BROOK, IL 60523-2525
(219) 992-9737
(219) 992-9738
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
01045391A
IN
207RI0011X
Interventional Cardiology Physician
Primary
036084893
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084893
—
IL
05
—
200493200A
—
IN
01
—
364274312
TAX ID
IL
01
—
364274312
TAX ID
IN
Enumeration date
09/21/2006
Last updated
12/29/2021
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