Individual
LOGESH DHARMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302
(708) 383-6200
Mailing address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 383-6200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036145586
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2015
Last updated
10/30/2018
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