Individual
DR. JASPREET THIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-4500
(312) 942-2380
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-4500
(312) 942-2380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125:059387
IL
2084P0800X
Psychiatry Physician
Primary
036.138588
IL
Other
Enumeration date
06/16/2011
Last updated
10/04/2017
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