Organization
MAHESH K AGARWAL MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHESH K AGRAWAL MD (PRESIDENT)
(847) 662-5100
Entity
Organization
Contact information
Practice address
200 S GREENLEAF ST, SUITE G, GURNEE, IL 60031-3398
(847) 662-5100
(847) 662-5112
Mailing address
200 S GREENLEAF ST, SUITE G, GURNEE, IL 60031-3398
(847) 662-5100
(847) 662-5112
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036044722
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044722
—
IL
Enumeration date
09/30/2005
Last updated
01/29/2010
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