Gujarathi, Gaurang
Gujarathi, Gaurang is an sole proprietor health care provider with primary practice located at 1710 W Court St , Kankakee IL 60901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gujarathi, Gaurang can be contacted via phone (815) 936-3200.Contact Information
Primary practice address
1710 W Court St
Kankakee IL 60901
Phone: (815) 936-3200
Fax: (815) 936-3203
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036133707 | Illinois |
Profile Details
NPI number | 1124314349 |
---|---|
LBN Legal business name | Gujarathi, Gaurang |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 27th, 2011 |
Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124314349 | NPPES |
Illinois | Other | 036133707 | STATE LICENSE |
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