Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 125-057117 | IL |
NPI | 1053549170 |
---|---|
Provider Name | Dr. Kunwarjit Singh Duggal |
First Address | Chicago, IL 60611-4264 |
Second Address | Dyer, IN 46311-1167 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2009 |
Last Update Date | 29/10/2015 |