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NPI Code Detail

MEDICARE: PRIYANKA AGRAWAL D.O

MEDICARE:   PRIYANKA  AGRAWAL  D.O
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
1207Q00000XFamily Medicine Physician125067606IL

General Provider Information

NPI Number : 1558756627
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRIYANKA AGRAWAL D.O
Provider Business Mailing Address
First Line : 150 N MICHIGAN AVE STE 1400
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7568
Country : US
Telephone Number : 312-276-1212
Fax Number : 312-276-1213
Provider Business Practice Location Address
First Line : 150 N MICHIGAN AVE STE 1400
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7568
Country : US
Telephone Number : 312-276-1212
Fax Number : 312-276-1213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2015
Last Update Date : 03/11/2026

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Directions to “ PRIYANKA AGRAWAL D.O” Practice Location

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