Avant -Garde Medicne SC

Organization Active NPI Physical Medicine & Rehabilitation Physician · Chicago, IL

NPI 1275918112 · NPPES record last updated Jul 21, 2015

Key facts

NPI
1275918112
Entity type
Organization (NPI type 2)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
036-111103 (IL)
Legal business name
AVANT -GARDE MEDICNE SC
Practice address
215 W Washington St Apt 5006
Chicago, IL 60606-3543
Phone
(702) 566-5343
NPI assigned
Jul 21, 2015
Organization subpart
No

Authorized official

Name
Dr. Deepthi S Saxena, M.D.
Title
Owner
Phone
(702) 566-4343

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208100000X 036-111103 IL Yes

Addresses

Primary practice location

215 W Washington St Apt 5006
Chicago, IL 60606-3543

Mailing address

1401 S California Ave
Chicago, IL 60608-1858
Phone (773) 522-2010

Other providers in Chicago, IL

All providers in Chicago, IL · Physical Medicine & Rehabilitation Physician in Illinois

Sources for this page

Verify at the official NPI Registry.