Individual
DR. DHRUVA R. TILWALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 W 755 BUTTERFIELD RD, SUITE 101, OAKBROOK TERRACE, IL 60181-4253
(630) 827-0100
(630) 827-0103
Mailing address
17 W 755 BUTTERFIELD RD, STE 101, OAKBROOK TERRACE, IL 60181
(630) 827-0100
(630) 827-0103
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036050661
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050661
—
IL
05
—
036050661/01
—
IL
01
—
21608842
BCBS IL
IL
01
—
995271
MEDICARE GROUP
IL
Enumeration date
04/17/2006
Last updated
06/26/2008
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