Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 036-76159 | IL |
NPI | 1013012558 |
---|---|
Provider Name | Ranjit Singh Wahi |
First Address | Burr Ridge, IL 60527-0715 |
Second Address | Chicago, IL 60617-5164 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 08/07/2007 |