Agrawal, Rekha
Agrawal, Rekha is an individual health care provider with primary practice located at 2160 S First Ave Maguire Center, Rm 3307, Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Agrawal, Rekha can be contacted via phone (708) 216-4403.Contact Information
Primary practice address
2160 S First Ave Maguire Center, Rm 3307
Maywood IL 60153
Phone: (708) 216-4403
Fax: (708) 216-3375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 36067580 | Illinois |
Profile Details
| NPI number | 1205802071 |
|---|---|
| LBN Legal business name | Agrawal, Rekha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Apr 2nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205802071 | NPPES |
| Illinois | MEDICAID | 36067580 |
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