Individual
DR. VISHAL KUMAR DIDWANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MCCLINTOCK DR, STE 202, BURR RIDGE, IL 60527-0871
(888) 220-6432
(630) 734-4715
Mailing address
901 MCCLINTOCK DR, STE 202, BURR RIDGE, IL 60527-0871
(888) 220-6432
(630) 734-4715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125:056395
IL
207RI0200X
Infectious Disease Physician
Primary
036130144
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130144
—
IL
Enumeration date
06/15/2009
Last updated
12/20/2021
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