Individual
AVNI BAVISHI UGHREJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
Mailing address
676 N SAINT CLAIR ST STE 730, CHICAGO, IL 60611-2990
(312) 695-0070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036158501
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036158501
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2015
Last updated
04/24/2023
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