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Individual

DR. SUNIL B LULLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3743 HIGHLAND AVE STE 1002, DOWNERS GROVE, IL 60515-1594
(630) 719-4799
(630) 785-2127
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
036-071945
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036-071945
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036071945
IL
Enumeration date
11/17/2005
Last updated
03/06/2025
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