ANITA VACHA THAKADIYIL

EVERGREEN PARK, IL
NPI1427271022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036116231)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
Dr. ANITA VACHA THAKADIYIL M.D
9760 S KEDZIE AVE
EVERGREEN PARK, IL 60805-3109
Phone number: 708-423-6209
Mailing Address
Dr. ANITA VACHA THAKADIYIL M.D
11844 WINDING TRAILS DR
WILLOW SPRINGS, IL 60480-1192
Phone number: 708-839-1299
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