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Individual

DR. MANSOINA BAWEJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
120 SPALDING DR, STE 111, NAPERVILLE, IL 60540-6766
(630) 527-3788
(630) 646-6071
Mailing address
120 SPALDING DR, STE 111, NAPERVILLE, IL 60540-6766
(630) 527-3788
(630) 646-6071

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036119257
IL
207RH0003X
Hematology & Oncology Physician
ME85565
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036119257 1
IL
05
265524100
FL
01
57791
BLUECROSS/BLUESHIELD
FL
01
P00000944
RAILROAD MEDICARE
FL
Enumeration date
11/30/2005
Last updated
03/11/2021
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