MEDICARE: KAHLON SURINDERPAL S

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
1	261Q00000X	Clinic/Center	036091614	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36137-20	OTHER	WI	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	09232010	OTHER	IL	BCBS
4	01058575A	OTHER	IN	LICENSE

General Provider Information

NPI Number	:	1720350275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAHLON SURINDERPAL S

Provider Business Mailing Address
First Line	:	601 N LOGAN AVE
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61832-4320
Country	:	US
Telephone Number	:	217-442-4055
Fax Number	:	425-795-5915

Provider Business Practice Location Address
First Line	:	601 N LOGAN AVE
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61832-4320
Country	:	US
Telephone Number	:	217-442-4055
Fax Number	:	425-795-5915

Authorized Official
Title or Position	:	PSYCHIATRIST
Name	:	SURINDERPAL S KAHLON
Credential	:	M.D.
Telephone Number	:	217-497-9090

Provider Enumeration Date	:	01/30/2012
Last Update Date	:	01/30/2012

Similar Medicare Providers

1558665596 — CENTRAL ILLINOIS FAMILY PRACTICE
Practice Location Address:

603 N LOGAN AVE
DANVILLE, IL
61832-4320

Practice Phone: 217-213-5254
Practice Fax: 217-213-5240

1558029504 — SMART HEALTH AND WELLNESS, PLLC
Practice Location Address:

603 N LOGAN AVE
DANVILLE, IL
61832-4320

Practice Phone: 217-280-8502
Practice Fax:

1598491599 — LUXE LIFT PLLC
Practice Location Address:

603 N LOGAN AVE
DANVILLE, IL
61832-4320

Practice Phone: 217-666-0401
Practice Fax:

1215620893 — EVERSIDE HEALTH-DANVILLE LOGAN AVENUE
Practice Location Address:

603 N LOGAN AVE
DANVILLE, IL
61832-4320

Practice Phone: 704-661-1380
Practice Fax:

1215053079 — ANNETTE B BECKER-OLLER L.AC.
Practice Location Address:

50 CLAYPOOL CT
DANVILLE, CA
94526-4320

Practice Phone: 925-324-0196
Practice Fax:

1396603742 — EMILY JOAN GRAVER
Practice Location Address:

812 N LOGAN AVE
DANVILLE, IL
61832-3752

Practice Phone: 217-443-5000
Practice Fax:

Directions to “KAHLON SURINDERPAL S ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.