Individual
DR. SURENDRA M GULATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 MADISON ST STE 300, JOLIET, IL 60435-6664
(815) 725-4367
Mailing address
2121 ONEIDA ST, #301, JOLIET, IL 60435
(815) 741-3942
(815) 741-9712
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036065541
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065541
—
IL
Enumeration date
12/04/2007
Last updated
03/17/2021
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