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1396815825
NAYANA UDAY PHATAK
CHICAGO, IL
NPI
1396815825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036060828)
Enumeration Date
2006-11-09
Last Update Date
2009-05-14
Business Address
Mrs. NAYANA UDAY PHATAK M.D.
2024 WEST. 79TH STREET
CHICAGO, IL 60620
Phone number: 773-859-1114
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Mailing Address
Mrs. NAYANA UDAY PHATAK M.D.
3541 S. EUCLID AVENUE UNIT #3
BERWYN, IL 60402
Phone number: 708-484-5462
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