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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.

Location: 915 N Caron Rd, Rochelle, IL, 61068-0418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Rochelle
State
Illinois
Zip
61068-9649
Phone Number
815-562-4014
Fax Number
person
Provider Business Mailing Address Details
Address
915 N Caron Rd
City
Rochelle
State
Illinois
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
208D00000X
License No.
036073740 (Illinois)
Definition
Definition to come...
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