Provider Demographics
NPI:1023253879
Name:DHAWAN, ANKUR A (DO)
Entity type:Individual
Prefix:
First Name:ANKUR
Middle Name:A
Last Name:DHAWAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANKUR
Other - Middle Name:
Other - Last Name:ARORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1541 SANDHURST CT
Mailing Address - Street 2:UNIT #C
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-2707
Mailing Address - Country:US
Mailing Address - Phone:630-464-1979
Mailing Address - Fax:
Practice Address - Street 1:1541 SANDHURST CT
Practice Address - Street 2:UNIT #C
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-2707
Practice Address - Country:US
Practice Address - Phone:630-464-1979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036121619207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine