| Exammd Clinic | |
|
601 N Logan Ave Danville IL 61832-4320 | |
| (217) 442-4055 | |
| (425) 795-5915 |
| Full Name | Exammd Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 601 N Logan Ave, Danville, Illinois |
| Authorized Official Name and Position | Surinderpal S Kahlon (PSYCHIATRIST) |
| Authorized Official Contact | 2174979090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exammd Clinic 601 N Logan Ave Danville IL 61832-4320 Ph: (217) 442-4055 | Exammd Clinic 601 N Logan Ave Danville IL 61832-4320 Ph: (217) 442-4055 |
| NPI Number | 1720350275 |
|---|---|
| Provider Enumeration Date | 01/30/2012 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720350275 | NPI | - | NPPES |
| 36137-20 | Other | WI | LICENSE |
| 036091614 | Medicaid | IL | |
| 09232010 | Other | IL | BCBS |
| 01058575A | Other | IN | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036091614 (Illinois) | Primary |
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