Individual
SHWETA PUNJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-0596
(312) 926-4878
Mailing address
2424 ERWIN RD, STE 605, DURHAM, NC 27705-3827
(312) 695-0596
(312) 926-4878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036132573
IL
207R00000X
Internal Medicine Physician
61831
WI
207RN0300X
Nephrology Physician
036132573
IL
207RN0300X
Nephrology Physician
Primary
207RN0300X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036132573
ILLINOIS MEDICAL LICENSE
IL
Enumeration date
09/09/2010
Last updated
11/17/2021
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