| Surjit S Thiara MD Ltd | |
|
915 N Caron Rd Rochelle IL 61068-9649 | |
| (815) 562-4014 | |
| (815) 562-5120 |
| Full Name | Surjit S Thiara MD Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 915 N Caron Rd, Rochelle, Illinois |
| Authorized Official Name and Position | Surjit Thiara (PRESIDENT) |
| Authorized Official Contact | 8155624014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surjit S Thiara MD Ltd 915 N Caron Rd Rochelle IL 61068-9649 Ph: (815) 562-4014 | Surjit S Thiara MD Ltd 915 N Caron Rd Rochelle IL 61068-9649 Ph: (815) 562-4014 |
| NPI Number | 1477757235 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 01/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477757235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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