Provider Demographics
NPI:1780330696
Name:AASHISH TANEJA MDSC
Entity type:Organization
Organization Name:AASHISH TANEJA MDSC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHANCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-941-4688
Mailing Address - Street 1:332 S MICHIGAN AVE STE 121T2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-4434
Mailing Address - Country:US
Mailing Address - Phone:855-754-6900
Mailing Address - Fax:
Practice Address - Street 1:800 BIESTERFIELD RD STE 3007
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3371
Practice Address - Country:US
Practice Address - Phone:847-290-6513
Practice Address - Fax:847-290-8505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty