Organization
SURENDEA M GULATI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURENDRA M GULATI MD (PHYSICIAN)
(815) 741-3942
Entity
Organization
Contact information
Practice address
2121 ONEIDA ST, SUITE 301, JOLIET, IL 60435
(815) 741-3942
(815) 741-9712
Mailing address
2121 ONEIDA ST, SUITE 301, JOLIET, IL 60435
(815) 741-3942
(815) 741-9712
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009900516
BCBS
IL
Enumeration date
12/05/2006
Last updated
08/22/2020
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