Individual
SHAWN GULATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 574-7400
Mailing address
4646 N MARINE DR, CHICAGO, IL 60640-5759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.072098
IL
207W00000X
Ophthalmology Physician
Primary
12644826-1205
UT
Other
Enumeration date
06/21/2018
Last updated
06/15/2022
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