Indira Vazzalwar M.D.

NPI 1124029897 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1124029897
Gender Female
Enumeration Date 08/03/2005
Last Updated 08/22/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1401 W. DUGDALE RD.
WAUKEGAN IL, 60085, US
Phone (847) 249-0600
Fax (773) 262-1184
Business Location
6346 N TALMAN AVE
SUIT 102
CHICAGO IL, 60659-1898, US
Phone (773) 262-1300
Fax (773) 262-1184
Toxanomy
Taxonomy Code 2084P0800X
License State Illinois
License Number 036109022
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According to our database, Indira Vazzalwar M.D. NPI is 1124029897, taxonomy code is 2084P0800X and license number is 036109022, license state is located at Illinois. Indira Vazzalwar M.D. physically located at 1401 W. Dugdale Rd., Waukegan IL, 60085. NPI Number Indira Vazzalwar M.D. has the Individual type.

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1124029897 NPI number is provided on an as is basis without warranty of any kind. 1124029897 is maintained by the National Plan & Provider Enumeration System. The contents of Indira Vazzalwar M.D. are for informational purposes only.