Prachi Aggarwal
Dermatology in Chicago, IL. Individual provider (NPI-1).
NPI number1770129751
StatusActive
Last updated in NPPESJun 12, 2023
Details
- NPI
- 1770129751
- Entity type
- Individual (NPI-1)
- Name
- Prachi Aggarwal
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 25, 2019
- Certification date
- Jun 12, 2023
- Last updated
- Jun 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 125079773 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
251 E Huron StChicago, IL 60611-2908
Phone 312-926-2000
Mailing address
150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Phone 773-702-1150
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