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Individual

DR. SURAJ DEEPAK PARULKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-0665
Mailing address
220 W ILLINOIS ST, 703, CHICAGO, IL 60654-4631
(785) 845-6904

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.140822
IL
390200000X
Student in an Organized Health Care Education/Training Program
2011016976
MO

Other

Enumeration date
07/07/2011
Last updated
07/25/2016
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