Prem N Pahwa MD Sc

NPI #1174711287 in Chicago, Illinois

Provider Information

NPI Number: 1174711287
Entity Type: Organization
Organization Name: Prem N Pahwa MD Sc
Primary Specialty: Specialist
Enumeration Date: Oct 15, 2007
Last Updated: Oct 15, 2007

Practice Location

Address: 1431 N WESTERN AVE
Address 2: SUITE 134
City: Chicago
State: Illinois
ZIP Code: 60622-1797
Phone: (773) 685-3846

Authorized Official

Name: DR. PREM NATH PAHWA, M.D.
Title: PRESIDENT
Phone: (773) 685-3846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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