Individual
MS. DIKSHA KAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11600 S KEDZIE AVE STE D, MERRIONETTE PARK, IL 60803-6307
(708) 684-6867
(708) 684-6869
Mailing address
APT 524, THE POINT AT 180, 180 EASTERN AVENUE, MALDEN, MA 02148
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036.170390
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2021
Last updated
08/16/2024
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