NICHOLAS BASANT PRADHAN

CHICAGO, IL
NPI1578252839
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125081621)
Enumeration Date2023-05-03
Last Update Date2023-12-10
Business Address
NICHOLAS BASANT PRADHAN MD
5841 S MARYLAND AVE STE MC7082
CHICAGO, IL 60637-1465
Phone number: 773-702-6840
Mailing Address
NICHOLAS BASANT PRADHAN MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150