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1578252839
NICHOLAS BASANT PRADHAN
CHICAGO, IL
NPI
1578252839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL 125081621)
Enumeration Date
2023-05-03
Last Update Date
2023-12-10
Business Address
NICHOLAS BASANT PRADHAN MD
5841 S MARYLAND AVE STE MC7082
CHICAGO, IL 60637-1465
Phone number: 773-702-6840
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Mailing Address
NICHOLAS BASANT PRADHAN MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150
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