Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 336.108378 | IL |
NPI | 1528454642 |
---|---|
Provider Name | Dr. Vidhi Dalal |
First Address | Chicago, IL 60611-2991 |
Second Address | Chicago, IL 60611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2015 |
Last Update Date | 01/05/2019 |