Individual
GURCHARAN S RANDHAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1229 N NORTH BRANCH ST, SUITE 210, CHICAGO, IL 60642-2473
(312) 939-5090
(312) 640-4496
Mailing address
1229 N NORTH BRANCH ST, SUITE 210, CHICAGO, IL 60642-2473
(312) 939-5090
(312) 640-4496
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27214
IA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
01038819A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036085519
IL
Other
Enumeration date
02/27/2007
Last updated
11/01/2011
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