Individual
DR. MANISH KUMAR DHAMIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 N HALSTED ST STE 623, CHICAGO, IL 60657-5196
(773) 281-5818
Mailing address
3000 N HALSTED ST STE 623, CHICAGO, IL 60657-5196
(773) 281-5818
(773) 281-6895
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36117326
IL
207RG0100X
Gastroenterology Physician
Primary
LT 12568
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17454
—
ND
Enumeration date
06/04/2007
Last updated
04/21/2025
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