MEDICARE: HARESH SAWLANI MD PC

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	207R00000X	Internal Medicine Physician	036091782	IL

General Provider Information

NPI Number	:	1487795639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARESH SAWLANI MD PC

Provider Business Mailing Address
First Line	:	3445 N CENTRAL AVE # C
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-4420
Country	:	US
Telephone Number	:	773-205-0800
Fax Number	:	773-205-1804

Provider Business Practice Location Address
First Line	:	3445 N CENTRAL AVE # C
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-4420
Country	:	US
Telephone Number	:	773-205-0800
Fax Number	:	773-205-1804

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HARESH SAWLANI
Credential	:	MD
Telephone Number	:	773-205-0800

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	04/23/2009

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