Individual
DR. MAHESH K AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S GREENLEAF, SUITE G, GURNEE, IL 60031-3398
(847) 662-5100
(847) 662-5112
Mailing address
200 S GREENLEAF ST, SUITE G, GURNEE, IL 60031-3398
(847) 662-5100
(847) 662-5112
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
3644722
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044722
—
IL
Enumeration date
01/09/2007
Last updated
07/31/2013
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