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Individual

DR. SUJAL V PANCHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 BATSON CT, SUITE 106, NEW LENOX, IL 60451-1564
(815) 463-9747
(815) 463-9749
Mailing address
100 BATSON CT, SUITE 106, NEW LENOX, IL 60451-1564
(815) 463-9747
(815) 463-9749

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036119020
IL
208000000X
Pediatrics Physician
Primary
4301106399
MI
208000000X
Pediatrics Physician
A82152
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036119020
IL
05
HSP40248F
CA
Enumeration date
09/15/2006
Last updated
10/19/2020
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