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Individual

TEJASI ADAVADKAR-GHOLAP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3310 W MAIN ST STE 100, ST CHARLES, IL 60175-1024
(630) 348-3100
(630) 513-0727
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.125306
IL
208000000X
Pediatrics Physician
54918-020
WI

Other

Enumeration date
12/15/2008
Last updated
01/12/2026
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