Individual
MR. SURINDERPAL SINGH KAHLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 N RANDOLPH ST STE 2, CHAMPAIGN, IL 61820-3976
(224) 786-1998
(888) 815-3583
Mailing address
3605 BAYVIEW DR, DANVILLE, IL 61832-1067
(217) 497-9090
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036091614
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01058575A
LICENSE
IN
05
—
036091614
—
IL
01
—
09232010
BCBS
IL
01
—
320573
LICENSE
NY
01
—
36137-20
LICENSE
WI
01
—
71253
LICENSE
AZ
Enumeration date
09/16/2006
Last updated
04/30/2025
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