Organization
TEJASI GHOLAP MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEJASI GHOLAP MD (OWNER)
(414) 736-7583
Entity
Organization
Contact information
Practice address
901 CENTER ST, SUITE 209, ELGIN, IL 60120-2104
(847) 429-1157
Mailing address
2350 COUNTY FARM LN, SCHAUMBURG, IL 60194-4807
(414) 736-7583
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036125306
IL
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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