Individual
DR. ANIL K GULATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2850 S WABASH AVE, SUITE 102, CHICAGO, IL 60616-2955
(312) 496-3488
(844) 235-6160
Mailing address
2850 S WABASH AVE, SUITE 102, CHICAGO, IL 60616-2955
(312) 496-3488
(844) 235-6160
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-079542
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03607952
—
IL
01
—
1606264
BC BS OF IL
—
01
—
P00180938
RR MEDICARE
—
Enumeration date
11/21/2005
Last updated
02/11/2016
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