Provider Demographics
NPI:1013097336
Name:COMMUNITY ORTHOPEDICS, DR. DHIMAN AND ASSOCIATES
Entity Type:Organization
Organization Name:COMMUNITY ORTHOPEDICS, DR. DHIMAN AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SURENDER
Authorized Official - Middle Name:
Authorized Official - Last Name:DHIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-725-7700
Mailing Address - Street 1:1240 ESSINGTON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-8408
Mailing Address - Country:US
Mailing Address - Phone:815-725-7700
Mailing Address - Fax:815-744-6257
Practice Address - Street 1:1240 ESSINGTON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-8408
Practice Address - Country:US
Practice Address - Phone:815-725-7700
Practice Address - Fax:815-744-6257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209470Medicare ID - Type UnspecifiedMEDICARE
IL581520Medicare ID - Type UnspecifiedMEDICARE