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NPI Code Detail

MEDICARE: KIRAN DHILLON M.D.

MEDICARE: KIRAN DHILLON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician2003021829MO
2207RI0200XInfectious Disease PhysicianIL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00273437OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
221622441OTHERILBCBS PROVIDER NO

General Provider Information

NPI Number : 1053383125
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRAN DHILLON M.D.
Provider Business Mailing Address
First Line : 16 ROYAL VALE DR
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1644
Country : US
Telephone Number : 630-655-4051
Fax Number :
Provider Business Practice Location Address
First Line : 7804 W COLLEGE DR
Second Line : SUITE 1NW
City : PALOS HEIGHTS
State : IL
Zip : 60463-1025
Country : US
Telephone Number : 708-361-5778
Fax Number : 708-361-5631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 01/14/2008

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Directions to “ KIRAN DHILLON M.D.” Practice Location

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