Provider Demographics
NPI:1053549170
Name:DUGGAL, KUNWARJIT SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:KUNWARJIT
Middle Name:SINGH
Last Name:DUGGAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:401 N MICHIGAN AVENUE
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4264
Mailing Address - Country:US
Mailing Address - Phone:312-635-0973
Mailing Address - Fax:813-290-9691
Practice Address - Street 1:601 SHEFFIELD AVE
Practice Address - Street 2:
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-1167
Practice Address - Country:US
Practice Address - Phone:219-322-2273
Practice Address - Fax:219-322-9212
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2015-10-29
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Provider Licenses
StateLicense IDTaxonomies
IL125-057117208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL216992Medicare PIN