Individual
NIMIT K AGGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12820 S RIDGELAND AVE, SUITE B, PALOS HEIGHTS, IL 60463-2388
(708) 371-8006
(708) 389-6630
Mailing address
12820 S RIDGELAND AVE, SUITE B, PALOS HEIGHTS, IL 60463-2388
(708) 371-8006
(708) 389-6630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036097747
IL
207R00000X
Internal Medicine Physician
036-097747
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036097747
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632457
BLUE CROSS BLUE SHIELD
IL
05
—
036097747
—
IL
01
—
P00246126
RAILROAD MEDICARE
IL
Enumeration date
04/12/2006
Last updated
07/12/2018
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