Provider Demographics
NPI:1609361070
Name:JOSHI, PULIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:PULIN
Middle Name:
Last Name:JOSHI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9641 W 153RD ST STE 41
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4603
Mailing Address - Country:US
Mailing Address - Phone:630-476-7867
Mailing Address - Fax:
Practice Address - Street 1:9641 W 153RD ST STE 41
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4603
Practice Address - Country:US
Practice Address - Phone:708-226-0509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016005942213ES0103X
WI18274-875213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery