Daksh Ahluwalia, MD
Individual provider Active NPI Internal Medicine Physician · Chicago, IL
NPI 1245979830 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1245979830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 125079998 (IL)
- Practice address
- 1901 W. Harrison
Chicago, IL 60612-3714 - Phone
- (312) 864-6000
- NPI assigned
- Jun 1, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220813000370 | IL | Order and Referring Only - Internal Medicine |
5799168431 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125079998 | IL | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 125079998 | IL | Yes |
Addresses
Primary practice location
1901 W. Harrison
Chicago, IL 60612-3714
Mailing address
1901 W. Harrison
Chicago, IL 60612-3714
Phone (312) 864-6000
Other providers in Chicago, IL
- Sarah Ahlm
- Neerja Ahlowalia
- Adrienne W Ahlquist
- Anchal Ahluwalia
- Aneet Ahluwalia
- Morgan Jana Ahluwalia
- Nalini Ahluwalia
- Sonia Vikas Ahluwalia
- Yoglackshan K Ahluwalia
- Ahmad Bastani MD
All providers in Chicago, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.