Organization
MANDEEP S KOHLI DO SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA K KOHLI BACHELORS (OFFICE MANAGER)
(630) 893-0347
Entity
Organization
Contact information
Practice address
303 E ARMY TRAIL RD, STE# 131, BLOOMINGDALE, IL 60108-2169
(630) 893-0347
(630) 893-1467
Mailing address
360 DONNA LN, BLOOMINGDALE, IL 60108-8800
(630) 893-0347
(630) 893-1467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232051
BCBS
IL
Enumeration date
07/16/2006
Last updated
11/06/2007
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