Individual
DR. GURSANT ATWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF IL HOSPITAL & HEALTH SCIENCE SYSTEM, 1740 W TAYLOR ST, CHICAGO, IL 60612
(312) 996-4842
(312) 996-9018
Mailing address
UNIV. OF IL, DEPT. OF NEUROSURGERY, 912 S WOOD ST, M/C 799, SUITE 451N, CHICAGO, IL 60612-4434
(312) 996-4842
(312) 996-9018
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036145915
IL
207T00000X
Neurological Surgery Physician
50220
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017023
—
AZ
Enumeration date
01/02/2013
Last updated
05/11/2018
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