Individual
DR. BAKUL K PANDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 129TH INFANTRY DR, JOLIET, IL 60435-5134
(815) 714-2301
(815) 741-2348
Mailing address
75 129TH INFANTRY DR, JOLIET, IL 60435-5134
(815) 714-2301
(815) 741-2348
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036054898
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054898
—
IL
Enumeration date
10/12/2005
Last updated
07/25/2008
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