Individual
DR. VIJAY K MARWAHA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142 W LINCOLN AVE, HINCKLEY, IL 60520-9200
(815) 286-7222
(815) 286-3213
Mailing address
142 W LINCOLN AVE, HINCKLEY, IL 60520-9200
(815) 286-7222
(815) 286-3213
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001900110
BCBS
IL
01
—
92309001
UHC
IL
Enumeration date
07/14/2005
Last updated
07/08/2007
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