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Individual

DR. SUNIL PAUWAA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10837 S CICERO AVE STE 200, OAK LAWN, IL 60453-6459
(708) 636-7575
Mailing address
10837 S CICERO AVE STE 200, OAK LAWN, IL 60453-6459
(708) 636-7575

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036121764
IL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
036121764
IL
207RC0000X
Cardiovascular Disease Physician
036121764
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036121764
IL
Enumeration date
01/23/2009
Last updated
12/17/2021
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