Provider Demographics
NPI:1720101066
Name:AJMANI, HARPINDER S (MD)
Entity Type:Individual
Prefix:
First Name:HARPINDER
Middle Name:S
Last Name:AJMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9119 KOSTNER AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1658
Mailing Address - Country:US
Mailing Address - Phone:773-395-8500
Mailing Address - Fax:773-395-8599
Practice Address - Street 1:2222 W DIVISION ST
Practice Address - Street 2:SUITE 310
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-2717
Practice Address - Country:US
Practice Address - Phone:773-395-8500
Practice Address - Fax:773-395-8599
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF55719Medicare UPIN
IL993500Medicare ID - Type Unspecified