Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 036135220 | IL |
NPI | 1003070350 |
---|---|
Provider Name | Dr. Harsh Chawla |
First Address | Decatur, IL 62526-4163 |
Second Address | Decatur, IL 62526-4163 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2008 |
Last Update Date | 20/08/2014 |