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Individual

DR. PRAVEEN VOHRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
24039 W LOCKPORT ST, PLAINFIELD, IL 60544-1652
(815) 254-3338
(815) 436-8367
Mailing address
PO BOX 678, PLAINFIELD, IL 60544-0678
(815) 254-3338
(815) 436-8367

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-004798
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09908116
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/14/2006
Last updated
10/09/2008
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