Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | IL | |
Y | 208600000X | Surgeon | IL |
NPI | 1003927021 |
---|---|
Provider Name | Vijay K Arora |
First Address | Galesburg, IL 61401-1251 |
Second Address | Galesburg, IL 61401-1251 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10756404 | CAQH (01) | |
1905570 | ACS (01) | |
36047379 | (05) | IL |
364271985-27 | JOHN DEERE (01) | |
4815127 | B/C B/S GROUP (01) | |
C37259 | (02) | IL |
L93985 | PIN (01) | IL |