Provider Demographics
NPI:1982010278
Name:ANDO, AKIKA (MD)
Entity Type:Individual
Prefix:
First Name:AKIKA
Middle Name:
Last Name:ANDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 SOUTH WOOS STREET , DIVISION OF NEPHROLOGY (MC 793)
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4325
Mailing Address - Country:US
Mailing Address - Phone:312-996-6736
Mailing Address - Fax:312-996-7378
Practice Address - Street 1:820 SOUTH WOOS STREET , DIVISION OF NEPHROLOGY (MC 793)
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4325
Practice Address - Country:US
Practice Address - Phone:312-996-6736
Practice Address - Fax:312-996-7378
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program