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Individual

PREMAL JOSHIPURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., FAAEM

Contact information

Practice address
150 W HALF DAY RD, BUFFALO GROVE, IL 60089-6591
(847) 215-0000
Mailing address
75 REMIT DRIVE, LOCKBOX 1218, CHICAGO, IL 60675-1218
(866) 916-5259
(231) 922-4030

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01039912A
IN
207P00000X
Emergency Medicine Physician
Primary
036-056204
IL
207P00000X
Emergency Medicine Physician
16228
AZ
207P00000X
Emergency Medicine Physician
23645
WI
207P00000X
Emergency Medicine Physician
4301038700
MI
207P00000X
Emergency Medicine Physician
A35188
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036056204-1
IL
Enumeration date
07/13/2006
Last updated
01/21/2010
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