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1568016913
PRATIK VAIDYA
CHICAGO, IL
NPI
1568016913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085.007114)
Enumeration Date
2019-07-24
Last Update Date
2019-07-24
Business Address
Mr. PRATIK VAIDYA PA-C
1500 S FAIRFIELD AVE
CHICAGO, IL 60608-1782
Phone number: 773-542-2000
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Mailing Address
Mr. PRATIK VAIDYA PA-C
9124 W OAKS AVE
DES PLAINES, IL 60016-4252
Phone number: 847-873-3289
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