Individual
FNU AVANTEEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(872) 340-5882
Mailing address
2970 N SHERIDAN RD APT 717, CHICAGO, IL 60657-5818
(872) 340-5882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.083761
IL
Other
Enumeration date
07/16/2024
Last updated
07/29/2024
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