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NPI Code Detail

MEDICARE: MANRAJ DHESI

MEDICARE: MANRAJ DHESI
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
1208VP0000XPain Medicine Physician036175969IL
2390200000XStudent in an Organized Health Care Education/Training Program
3208100000XPhysical Medicine & Rehabilitation Physician036175969IL

General Provider Information

NPI Number : 1629606686
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANRAJ DHESI
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 SPALDING DR STE 101
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6599
Country : US
Telephone Number : 630-527-7730
Fax Number : 630-527-7748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2020
Last Update Date : 01/22/2026

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Directions to “ MANRAJ DHESI ” Practice Location

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