Provider Demographics
NPI:1437343258
Name:SAROJ GULANI LTD
Entity Type:Organization
Organization Name:SAROJ GULANI LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAROJ
Authorized Official - Middle Name:B
Authorized Official - Last Name:GULANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-706-0260
Mailing Address - Street 1:2015 N KOLMAR AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60644
Mailing Address - Country:US
Mailing Address - Phone:847-912-6474
Mailing Address - Fax:773-772-1401
Practice Address - Street 1:1300 10TH ST
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-7604
Practice Address - Country:US
Practice Address - Phone:773-261-1200
Practice Address - Fax:773-261-1212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health