Individual
DR. GINI DUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
206 W NIPPERSINK RD, ROUND LAKE, IL 60073-3511
(847) 546-8500
(847) 546-4409
Mailing address
206 W NIPPERSINK RD, ROUND LAKE, IL 60073-3511
(847) 546-8500
(847) 546-4409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125053538
IL
Other
Enumeration date
08/01/2007
Last updated
02/27/2012
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