Individual
DR. KHYLDOON SELIM BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
2813 STONEGATE DR, CRYSTAL LAKE, IL 60012-1033
(857) 207-7161
Mailing address
2813 STONEGATE DR, CRYSTAL LAKE, IL 60012-1033
(857) 207-7161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036140031
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2012
Last updated
07/05/2016
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