Most Relevant Information
Provider Data
| NPI Number: | 1003049966 |
| Provider Name: | GIRISHKUMAR DHORAJIA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TP0016X |
| Specialty: | Psychologist |
| License Number: | 036.135221 |
Most Important Dates
| Enumeration Date: | 08/26/2009 |
| Last Updated: | 08/28/2019 |
Provider Practice Location
1304 FRANKLIN AVE
ADVOCATE BROMENN MEDICAL CENTER
NORMAL
IL
617613558
Practice Location Phone/Fax
| Phone: | 3092685376 |
| Fax: | 3092682374 |
Provider Mailing Location
1304 FRANKLIN AVE
ADVOCATE BROMENN MEDICAL CENTER
NORMAL
IL
617613558
Provider Mailing Phone/Fax
| Phone: | 4234392221 |
| Fax: |