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Individual

DR. MANDEEP S KOHLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
303 E ARMY TRAIL RD, STE 301, BLOOMINGDALE, IL 60108-2169
(630) 893-0347
(630) 893-1467
Mailing address
PO BOX 6365, BLOOMINGDALE, IL 60108-6365
(630) 893-0347
(630) 893-1467

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036104504
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036104504
IL
Enumeration date
06/23/2006
Last updated
06/13/2019
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