Individual
DR. MAHABLESHWAR VASSANT PALONDIKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4160 RFD, SUITE 306, LONG GROVE, IL 60047-9583
(847) 634-2333
(847) 634-1132
Mailing address
2701 CRYSTAL WAY, CRYSTAL LAKE, IL 60012-2226
(847) 634-2333
(847) 634-1132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-051040
IL
Other
Enumeration date
01/24/2007
Last updated
10/13/2020
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