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NPI Code Detail

MEDICARE: VASANT R ACHARYA M.D.

MEDICARE:   VASANT R ACHARYA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036050860IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00260047OTHERILMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124035944
Entity Type Code : Individual
Provider Name (Legal Business Name) : VASANT R ACHARYA M.D.
Provider Business Mailing Address
First Line : 932 LAKE ST STE 300
Second Line :
City : OAK PARK
State : IL
Zip : 60301-1204
Country : US
Telephone Number : 331-221-1700
Fax Number : 331-221-2729
Provider Business Practice Location Address
First Line : 932 LAKE ST STE 300
Second Line :
City : OAK PARK
State : IL
Zip : 60301-1204
Country : US
Telephone Number : 331-221-1700
Fax Number : 331-221-2729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 02/23/2021

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Directions to “ VASANT R ACHARYA M.D.” Practice Location

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