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Natasha Vyas

NPI Registration Record

Provider / OrganizationNPIDate Certified
NATASHA VYAS19620230102020-06-28
Entity TypeIndividual
Provider Name Natasha Vyas MD
Practice Office Address2650 RIDGE AVE STE 1340
EVANSTON, IL US
Practice Office Telephone8475702700
Mailing Address180 HARVESTER DR STE 110
BURR RIDGE, IL 605276686 US
Business Telephone7737021150
HPT Codes
CodeLicense NoState
390200000X IL
207R00000X PRIMARY125.076272 IL
OPI Codes

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