| Pitu G Punjabi Md Sc | |
|
6084 S Archer Ave Ste 100 Chicago IL 60638-2747 | |
| (773) 767-0100 | |
| (773) 767-9690 |
| Full Name | Pitu G Punjabi Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6084 S Archer Ave, Chicago, Illinois |
| Authorized Official Name and Position | Pitu G Punjabi (PHYSICIAN) |
| Authorized Official Contact | 7737670100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pitu G Punjabi Md Sc 6084 S Archer Ave Ste 100 Chicago IL 60638-2747 Ph: (773) 767-0100 | Pitu G Punjabi Md Sc 6084 S Archer Ave Ste 100 Chicago IL 60638-2747 Ph: (773) 767-0100 |
| NPI Number | 1821294141 |
|---|---|
| Provider Enumeration Date | 06/24/2007 |
| Last Update Date | 08/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821294141 | NPI | - | NPPES |
| 2201598 | Other | IL | BLUE CROSS BLUE SHIELD OF |
| 036053482 | Medicaid | IL | |
| 110019865 | Other | IL | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036053482 (Illinois) | Primary |
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