Individual
MRS. SUPREET KAUR DHALIWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2371 BOWES RD, STE 400, ELGIN, IL 60123
(224) 227-6973
Mailing address
2371 BOWES RD, STE 400, ELGIN, IL 60123
(224) 227-6973
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005367
IL
Other
Enumeration date
06/23/2008
Last updated
09/30/2020
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