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Organization
MPS KOHLI MD SC
Active
Organization
MPS KOHLI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANINDER S KOHLI M.D. (PRESIDENT)
(630) 590-5751
Entity
Organization
Contact information
Practice address
950 N YORK RD, SUITE 205, HINSDALE, IL 60521
(630) 590-5751
(630) 590-5753
Mailing address
950 N YORK RD STE 205, HINSDALE, IL 60521-8609
(630) 590-5751
(630) 590-5753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036092528
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092528
—
IL
01
—
2234079
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/10/2009
Last updated
08/22/2018
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