Individual
DR. WAJAHAT A LODHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 885, CHICAGO, IL 60612
(312) 942-4500
Mailing address
1725 W HARRISON ST STE 885, CHICAGO, IL 60612-3841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-136620
IL
2084A2900X
Neurocritical Care Physician
036-136620
IL
208M00000X
Hospitalist Physician
Primary
036136620
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236248
—
OH
05
—
2943766
—
OH
Enumeration date
04/18/2007
Last updated
12/06/2018
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