Gulati, Surendra M
Gulati, Surendra M is an sole proprietor health care provider with primary practice located at 301 Madison St Ste 300 , Joliet IL 60435-6664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gulati, Surendra M can be contacted via phone (815) 725-4367.Contact Information
Primary practice address
301 Madison St Ste 300
Joliet IL 60435-6664
Phone: (815) 725-4367
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036065541 | Illinois |
Profile Details
| NPI number | 1558543348 |
|---|---|
| LBN Legal business name | Gulati, Surendra M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Mar 17th, 2021 - about 3 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 | 1558543348 | NPPES |
| Illinois | MEDICAID | 036065541 |
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