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General NPI Number Information
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NPI Number | 1003048745
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Entity Type | Individual
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Provider Name | PUNEET DHILLON GREWAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1501 S CALIFORNIA AVE # 7-140
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City | CHICAGO
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State | IL
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Zip | 60608-1732
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Country | US
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Telephone | 773-257-4758
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 DARIEN CLUB DR
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City | DARIEN
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State | IL
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Zip | 60561-3670
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036131243
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A151270
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License Number State | CA
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