Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 036.140261 | IL |
NPI | 1154683456 |
---|---|
Provider Name | Dr. Sejal Danawala |
First Address | Park Ridge, IL 60068-1110 |
Second Address | Park Ridge, IL 60068-1110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2012 |
Last Update Date | 22/04/2021 |