person
Surjit Thiara, MD
General Practice Physician in Rochelle, Illinois
NPI 1609856715

Surjit Thiara is a General Practice Physician based in Rochelle, IL. Surjit Thiara practices in Rochelle, IL and has the professional credentials of MD. The NPI Number for Surjit Thiara is 1609856715 and holds a License No. 036073740 (Illinois).

The current practice location address for Surjit Thiara is 915 N Caron Rd, Rochelle, IL and can be reached out via phone at 815-562-4014. You can also correspond with Surjit Thiara through the mailing address at PO BOX 418, ROCHELLE, IL - 61068-0418 (mailing address contact number: 815-654-7772).

Location: 915 N Caron Rd, Rochelle, IL, 61068-0418
person
Provider Profile Details
NPI Number
1609856715
Provider Name
Surjit Thiara
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
915 N Caron Rd, Rochelle, IL, 61068-0418
Phone Number
815-562-4014
Fax Number
Provider Enumeration Date
01/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036073740 05 IL
institution
Provider Business Practice Location Address Details
Address
915 N Caron Rd
City
State
Zip
61068-9649
Phone Number
815-562-4014
Fax Number
person
Provider Business Mailing Address Details
Address
915 N Caron Rd
City
State
Zip
61068-9649
Phone Number
815-562-4014
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
036073740 (Illinois)
Definition
Definition to come...
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