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NPI Code Detail

MEDICARE: ASHISH MUKHERJEE M.D., F.A.C.C.

MEDICARE: ASHISH MUKHERJEE M.D., F.A.C.C.
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
1207RC0000XCardiovascular Disease Physician036063329IL

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 : 1710997259
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHISH MUKHERJEE M.D., F.A.C.C.
Provider Business Mailing Address
First Line : 1501 S CALIFORNIA AVE # 7-140
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1732
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2701 W 68TH ST FL 2
Second Line :
City : CHICAGO
State : IL
Zip : 60629-1813
Country : US
Telephone Number : 773-884-7920
Fax Number : 773-884-8024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 04/16/2026

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