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NPI Code Detail

MEDICARE: KISHORE K LAKHANI MDSC

MEDICARE:   KISHORE K LAKHANI  MDSC
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
1207V00000XObstetrics & Gynecology Physician036061273IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22201417OTHERILBLUE SHIELD PROVIDER NO

General Provider Information

NPI Number : 1376687319
Entity Type Code : Individual
Provider Name (Legal Business Name) : KISHORE K LAKHANI MDSC
Provider Business Mailing Address
First Line : PO BOX 696
Second Line :
City : BLOOMINGDALE
State : IL
Zip : 60108-0696
Country : US
Telephone Number : 847-882-6060
Fax Number : 847-882-6061
Provider Business Practice Location Address
First Line : 2500 WEST HIGGINS ROAD
Second Line : SUITE 330
City : HOFFMAN ESTATES
State : IL
Zip : 60169-7207
Country : US
Telephone Number : 847-882-6060
Fax Number : 847-882-6061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 01/21/2011

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Directions to “ KISHORE K LAKHANI MDSC” Practice Location

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