Individual
DR. HARVEEN KAUR SOODAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4177 S ARCHER AVE, CHICAGO, IL 60632-1849
(773) 254-2222
Mailing address
4177 S ARCHER AVE, CHICAGO, IL 60632-1849
(773) 254-2222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036129264
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036129264
IL STATE LICENSE
IL
01
—
080022868
MEDICARE
IL
Enumeration date
04/22/2009
Last updated
12/31/2015
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