Individual
ARCHANA A BARGAJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 S MICHIGAN AVE, MERCY MEDICAL CENTER, CHICAGO, IL 60616-2333
(312) 567-2056
Mailing address
744 S EUCLID AVE, VILLA PARK, IL 60181-3003
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036120768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036120768
ILDPR
IL
Enumeration date
08/29/2008
Last updated
02/09/2010
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