Provider Demographics
NPI:1912082926
Name:COMMUNITY ORTHOPEDICS DR DHIMAN & ASSOC LTD
Entity Type:Organization
Organization Name:COMMUNITY ORTHOPEDICS DR DHIMAN & ASSOC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SURRENDER
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:
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 1:1600 W US ROUTE 6
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450-8854
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:2006-10-26
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
209470Medicare ID - Type Unspecified
581520Medicare ID - Type Unspecified