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Individual

AJIT SINGH PAINTAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2650 RIDGE AVE., DEPARTMENT OF PATHOLOGY, EVANSTON, IL 60201-1718
(847) 570-2702
(847) 733-5314
Mailing address
2650 RIDGE AVE., DEPARTMENT OF PATHOLOGY, EVANSTON, IL 60201-1718
(847) 570-2702
(847) 733-5314

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
036122219
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
253250
NY

Other

Enumeration date
07/01/2009
Last updated
07/03/2024
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