Individual
DR. DIVYA NAGABUSHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1241 W JACKSON BLVD UNIT 213, CHICAGO, IL 60607-2858
(224) 516-7025
Mailing address
1241 W JACKSON BLVD UNIT 213, CHICAGO, IL 60607-2858
(224) 516-7025
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
125.083057
IL
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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