Individual
DR. AASHISH TANEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7402 E RIVERSIDE BLVD, LOVES PARK, IL 61111-5630
(815) 971-3920
(815) 226-9672
Mailing address
7402 E RIVERSIDE BLVD, LOVES PARK, IL 61111-5630
(815) 971-3920
(815) 226-9672
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036122049
IL
207N00000X
Dermatology Physician
4301086698
MI
207ND0900X
Dermatopathology Physician
4301086698
MI
207NS0135X
Procedural Dermatology Physician
4301086698
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992907893
—
WI
Enumeration date
06/03/2007
Last updated
10/20/2020
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