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Individual

CHIRAG A DHOLAKIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12255 S 80TH AVE STE 204, PALOS HEIGHTS, IL 60463-1284
(708) 923-4400
(708) 923-4295
Mailing address
12255 S 80TH AVE STE 204, PALOS HEIGHTS, IL 60463-1284
(708) 923-4400
(708) 923-4295

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036126478
IL
208600000X
Surgery Physician
1885
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036126478
IL
Enumeration date
12/20/2006
Last updated
02/24/2026
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