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1770547309
PRAKASH VAISHNAV
CHICAGO RIDGE, IL
NPI
1770547309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IL 036058269)
Enumeration Date
2006-04-12
Last Update Date
2018-06-07
Business Address
PRAKASH VAISHNAV M.D.
10604 SOUTHWEST HIGHWAY SUITE 107
CHICAGO RIDGE, IL 60415-2717
Phone number: 708-371-8006
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Mailing Address
PRAKASH VAISHNAV M.D.
10604 SOUTHWEST HIGHWAY SUITE 107
CHICAGO RIDGE, IL 60415-2717
Phone number: 708-371-8006
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